Healthcare Provider Details

I. General information

NPI: 1609804731
Provider Name (Legal Business Name): DEBORAH KAE VARRELMANN A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 11/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 N 9TH ST SUITE A
FORT DODGE IA
50501-3905
US

IV. Provider business mailing address

2419 2ND AVE N
FORT DODGE IA
50501-3602
US

V. Phone/Fax

Practice location:
  • Phone: 515-574-6605
  • Fax: 515-573-8710
Mailing address:
  • Phone: 515-576-2235
  • Fax: 515-576-6863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA047211
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: