Healthcare Provider Details

I. General information

NPI: 1124908652
Provider Name (Legal Business Name): DIANNA L VARNELL LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 BARNEY RD APT 15
ANDERSON CA
96007-4301
US

IV. Provider business mailing address

3629 BECHELLI LN APT 15
REDDING CA
96002-2443
US

V. Phone/Fax

Practice location:
  • Phone: 916-642-7800
  • Fax: 530-364-2233
Mailing address:
  • Phone: 530-209-0781
  • Fax: 530-364-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN191629
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: