Provider Demographics
NPI:1669263463
Name:VARNER, DESIREE C
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:C
Last Name:VARNER
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 1:545 GARDEN HWY # A-2
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-6338
Mailing Address - Country:US
Mailing Address - Phone:530-822-7263
Mailing Address - Fax:
Practice Address - Street 1:545 GARDEN HWY # A-2
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-6338
Practice Address - Country:US
Practice Address - Phone:530-822-7263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion