Provider Demographics
NPI:1295171841
Name:VARELA, VANESSA MARIA (LPN)
Entity type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:MARIA
Last Name:VARELA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14356 SW 23RD LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8036
Mailing Address - Country:US
Mailing Address - Phone:786-370-0966
Mailing Address - Fax:305-227-4868
Practice Address - Street 1:14356 SW 23RD LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8036
Practice Address - Country:US
Practice Address - Phone:786-370-0966
Practice Address - Fax:305-227-4868
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5171849164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse