Healthcare Provider Details

I. General information

NPI: 1932620580
Provider Name (Legal Business Name): TEMPEST VARNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TEMPEST MOORE MD

II. Dates (important events)

Enumeration Date: 07/05/2017
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 34TH ST NW
BEMIDJI MN
56601-5112
US

IV. Provider business mailing address

1233 34TH ST NW
BEMIDJI MN
56601-5112
US

V. Phone/Fax

Practice location:
  • Phone: 218-333-5100
  • Fax:
Mailing address:
  • Phone: 218-333-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number80061
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number80061
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number80061
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: