Provider Demographics
NPI:1356846885
Name:VAREENE, CEDRIC D
Entity Type:Individual
Prefix:MR
First Name:CEDRIC
Middle Name:D
Last Name:VAREENE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3408 SCHOONER DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8905
Mailing Address - Country:US
Mailing Address - Phone:919-616-6068
Mailing Address - Fax:
Practice Address - Street 1:3408 SCHOONER DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8905
Practice Address - Country:US
Practice Address - Phone:919-616-6068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide