Provider Demographics
NPI:1609804731
Name:VARRELMANN, DEBORAH KAE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:KAE
Last Name:VARRELMANN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2419 2ND AVE N
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-3602
Mailing Address - Country:US
Mailing Address - Phone:515-576-2235
Mailing Address - Fax:515-576-6863
Practice Address - Street 1:24 N 9TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-3905
Practice Address - Country:US
Practice Address - Phone:515-574-6605
Practice Address - Fax:515-573-8710
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA047211363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA26447Medicare UPIN