Provider Demographics
NPI:1891293585
Name:NARUMANCHI, VARSHNA
Entity Type:Individual
Prefix:
First Name:VARSHNA
Middle Name:
Last Name:NARUMANCHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11403 HORNSBY ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-2627
Mailing Address - Country:US
Mailing Address - Phone:512-736-4591
Mailing Address - Fax:
Practice Address - Street 1:13805 ANN PLACE
Practice Address - Street 2:LOTUS HOUSE 2ND FLOOR
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728
Practice Address - Country:US
Practice Address - Phone:512-736-4591
Practice Address - Fax:512-957-2702
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-27
Last Update Date:2022-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZL-302878163WL0100X
TXL-302878163WL0100X
TX99319176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant