Provider Demographics
NPI:1811167265
Name:VARNES, TODD MICHAEL
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:MICHAEL
Last Name:VARNES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 LUKE LN
Mailing Address - Street 2:
Mailing Address - City:DANE
Mailing Address - State:WI
Mailing Address - Zip Code:53529-9515
Mailing Address - Country:US
Mailing Address - Phone:608-843-8623
Mailing Address - Fax:
Practice Address - Street 1:411 LUKE LN
Practice Address - Street 2:
Practice Address - City:DANE
Practice Address - State:WI
Practice Address - Zip Code:53529-9515
Practice Address - Country:US
Practice Address - Phone:608-843-8623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-01
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI185801-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse