Healthcare Provider Details

I. General information

NPI: 1538801949
Provider Name (Legal Business Name): MRS. MERESA MAY VARANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 S DIXIE HWY W
POMPANO BEACH FL
33060-7805
US

IV. Provider business mailing address

971 S DIXIE HWY W
POMPANO BEACH FL
33060-7805
US

V. Phone/Fax

Practice location:
  • Phone: 561-350-3543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number26NJ15383600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11017847
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: