Provider Demographics
NPI:1386012771
Name:VARNER, ALISON TAYLOR (RN)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:TAYLOR
Last Name:VARNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89990 HAWKINS RD
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:OR
Mailing Address - Zip Code:97146-7133
Mailing Address - Country:US
Mailing Address - Phone:509-294-0702
Mailing Address - Fax:
Practice Address - Street 1:89990 HAWKINS RD
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:OR
Practice Address - Zip Code:97146-7133
Practice Address - Country:US
Practice Address - Phone:509-294-0702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00135367163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient