Provider Demographics
NPI:1912772997
Name:VARNEY, NATASHA (RD, LDN)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:VARNEY
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 634
Mailing Address - Street 2:
Mailing Address - City:TURNER
Mailing Address - State:ME
Mailing Address - Zip Code:04282-0634
Mailing Address - Country:US
Mailing Address - Phone:207-713-8311
Mailing Address - Fax:
Practice Address - Street 1:98 MATTHEWS WAY
Practice Address - Street 2:
Practice Address - City:TURNER
Practice Address - State:ME
Practice Address - Zip Code:04282-3930
Practice Address - Country:US
Practice Address - Phone:207-713-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDI1927133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered