Healthcare Provider Details

I. General information

NPI: 1760309058
Provider Name (Legal Business Name): SARA J VARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2864 TOWNSHIP ROAD 165
WEST LIBERTY OH
43357-9572
US

IV. Provider business mailing address

2864 TOWNSHIP ROAD 165
WEST LIBERTY OH
43357-9572
US

V. Phone/Fax

Practice location:
  • Phone: 937-441-2482
  • Fax:
Mailing address:
  • Phone: 937-441-2482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: