Provider Demographics
NPI:1508936113
Name:VARNER, MARY PENN (ARNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:PENN
Last Name:VARNER
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Gender:F
Credentials:ARNP
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Mailing Address - Street 1:1401 E FOWLER AVE STE A
Mailing Address - Street 2:ST JOSEPH'S CHILDREN'S ADVOCACY CENTER
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5513
Mailing Address - Country:US
Mailing Address - Phone:813-615-0589
Mailing Address - Fax:813-972-2185
Practice Address - Street 1:3001 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:ST JOSEPH'S CHILDREN'S ADVOCACY CENTER
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-615-0589
Practice Address - Fax:813-972-2185
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLARNP1479152363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics