Stephanie Varner
Individual provider Active NPI Other Technician · Melvindale, MI
NPI 1053765347 · NPPES record last updated Apr 22, 2016
Key facts
- NPI
- 1053765347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 50 Gale Blvd
1
Melvindale, MI 48122-1774 - Phone
- (313) 948-8785
- NPI assigned
- Apr 22, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
50 Gale Blvd
1
Melvindale, MI 48122-1774
Mailing address
50 Gale Blvd
1
Melvindale, MI 48122-1774
Phone (313) 948-8785
Other providers in Melvindale, MI
- Serene Haven Residential
- Andrew Smith
- Stephen Lukas Optician
- Keyunna Taylor
- The Cookie Project
- Kiyeesha Wilder
- Amy Wood
- Safia Ali Yahia
All providers in Melvindale, MI · Other Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.