Provider Demographics
NPI:1922272459
Name:VARNEY, KERRI MARIE (ARNP-C)
Entity Type:Individual
Prefix:MS
First Name:KERRI
Middle Name:MARIE
Last Name:VARNEY
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:MS
Other - First Name:KERRI
Other - Middle Name:MARIE
Other - Last Name:TREMBLAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1680 SE LYNGATE DR STE 204
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-4300
Mailing Address - Country:US
Mailing Address - Phone:772-222-5411
Mailing Address - Fax:
Practice Address - Street 1:1796 US HIGHWAY 441 N
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-1918
Practice Address - Country:US
Practice Address - Phone:863-763-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2022-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3290212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily