MEDICARE: ANDREW VARALLI PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN205002	AZ
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	280341	AZ

General Provider Information

NPI Number	:	1811618192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW VARALLI PMHNP-BC

Provider Business Mailing Address
First Line	:	698 E WETMORE RD STE 370
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1773
Country	:	US
Telephone Number	:	520-477-7444
Fax Number	:	520-372-0043

Provider Business Practice Location Address
First Line	:	698 E WETMORE RD STE 370
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1773
Country	:	US
Telephone Number	:	520-477-7444
Fax Number	:	520-372-0043

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	06/26/2025

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