MEDICARE: MS. CHERYL LYNN VARNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	MD00043724	WA
2	207Y00000X	Otolaryngology Physician	8959A	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568443398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL LYNN VARNER MD

Provider Business Mailing Address
First Line	:	1333 W 5TH ST, STE 110
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-2752
Country	:	US
Telephone Number	:	307-675-4646
Fax Number	:	307-675-4645

Provider Business Practice Location Address
First Line	:	1333 W 5TH ST, STE 206
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-2752
Country	:	US
Telephone Number	:	307-675-4646
Fax Number	:	307-675-4645

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	05/10/2021

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