Provider Demographics
NPI:1952815771
Name:VARNACHEVA, OLGA V (NP)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:V
Last Name:VARNACHEVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:204 RIDGEPOINT PL
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5691
Mailing Address - Country:US
Mailing Address - Phone:832-331-4862
Mailing Address - Fax:240-235-8181
Practice Address - Street 1:204 RIDGEPOINT PL
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-5691
Practice Address - Country:US
Practice Address - Phone:832-331-4862
Practice Address - Fax:301-330-0444
Is Sole Proprietor?:No
Enumeration Date:2017-12-01
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR214999363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care