Provider Demographics
NPI:1275394553
Name:VARNER, ANDREA ROCHELLE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:ROCHELLE
Last Name:VARNER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:ROCHELLE
Other - Last Name:SMERTNECK / BLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 WHEELING AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN DALE
Mailing Address - State:WV
Mailing Address - Zip Code:26038-1729
Mailing Address - Country:US
Mailing Address - Phone:304-843-4444
Mailing Address - Fax:304-845-4419
Practice Address - Street 1:1300 WHEELING AVE
Practice Address - Street 2:
Practice Address - City:GLEN DALE
Practice Address - State:WV
Practice Address - Zip Code:26038-1729
Practice Address - Country:US
Practice Address - Phone:304-843-4444
Practice Address - Fax:304-845-4419
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV69035163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool