Provider Demographics
NPI:1568088250
Name:VARNER, SHARON D (LPN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:D
Last Name:VARNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27400 CHARDON RD APT 620
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2770
Mailing Address - Country:US
Mailing Address - Phone:216-650-9032
Mailing Address - Fax:
Practice Address - Street 1:27400 CHARDON RD APT 620
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44092-2770
Practice Address - Country:US
Practice Address - Phone:216-650-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.167464.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse