Provider Demographics
NPI:1598727612
Name:VARNADORE, YVETTE MARIE (ARNP/CNM)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:MARIE
Last Name:VARNADORE
Suffix:
Gender:F
Credentials:ARNP/CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 LAKEWOOD RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5185
Mailing Address - Country:US
Mailing Address - Phone:941-907-3008
Mailing Address - Fax:941-907-3036
Practice Address - Street 1:8340 LAKEWOOD RANCH BLVD
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202-5180
Practice Address - Country:US
Practice Address - Phone:941-907-3008
Practice Address - Fax:941-907-3036
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9205018363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9205018OtherMEDICAL LICENSE NUMBER
FLU5878ZMedicare ID - Type Unspecified