Provider Demographics
NPI:1134885460
Name:VARNS, TYREKIA
Entity type:Individual
Prefix:
First Name:TYREKIA
Middle Name:
Last Name:VARNS
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 1:9698 PATRIOT BLVD APT 424
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-8511
Mailing Address - Country:US
Mailing Address - Phone:843-425-8197
Mailing Address - Fax:
Practice Address - Street 1:9698 PATRIOT BLVD APT 424
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-8511
Practice Address - Country:US
Practice Address - Phone:843-425-8197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC0909OtherN/A