Healthcare Provider Details

I. General information

NPI: 1720245368
Provider Name (Legal Business Name): MARK STEVEN VARANELLI NREMT-P
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 OHIO DR SW USPP / AVIATION UNIT
WASHINGTON DC
20024-0001
US

IV. Provider business mailing address

1100 OHIO DR SW USPP / AVIATION UNIT
WASHINGTON DC
20024-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-690-0738
  • Fax:
Mailing address:
  • Phone: 202-690-0738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number0100798
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: