Healthcare Provider Details

I. General information

NPI: 1538152376
Provider Name (Legal Business Name): ROBIN LYNN VARELLA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 SEVEN FARMS DR STE 120
DANIEL ISLAND SC
29492-8024
US

IV. Provider business mailing address

PO BOX 632516
CINCINNATI OH
45263-2516
US

V. Phone/Fax

Practice location:
  • Phone: 843-713-8079
  • Fax: 843-402-2757
Mailing address:
  • Phone: 888-472-0043
  • Fax: 513-653-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number83
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: