Victoria Leigh Varney, NCLMT
Individual provider Active NPI Specialist · Wenham, MA
NPI 1679832273 · NPPES record last updated May 16, 2012
Key facts
- NPI
- 1679832273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 58 (MA)
- Practice address
- 162 Main St
Wenham, MA 01984-1415 - Phone
- (978) 468-4294
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5372 | MA | MD | Specialist |
| 58 | MA | MD | Specialist |
| 8973 | MA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 58 | MA | Yes |
| Specialist |
174400000X | 5372 | MA | |
| Specialist |
174400000X | 8973 | MA |
Addresses
Primary practice location
162 Main St
Wenham, MA 01984-1415
Mailing address
162 Main St
Wenham, MA 01984-1415
Phone (978) 468-4294
Other providers in Wenham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2012. 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.