Healthcare Provider Details

I. General information

NPI: 1528928769
Provider Name (Legal Business Name): KAYZIAH VARELA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 RIVER GROVE WAY APT 830
WEST PALM BEACH FL
33407-2194
US

IV. Provider business mailing address

195 RIVER GROVE WAY APT 830
WEST PALM BEACH FL
33407-2194
US

V. Phone/Fax

Practice location:
  • Phone: 786-218-0121
  • Fax:
Mailing address:
  • Phone: 786-218-0121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11043702
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: