MEDICARE: MRS. DEBORAH KAE VARRELMANN A.R.N.P.

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	363L00000X	Nurse Practitioner	A047211	IA

General Provider Information

NPI Number	:	1609804731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH KAE VARRELMANN A.R.N.P.

Provider Business Mailing Address
First Line	:	2419 2ND AVE N
Second Line	:
City	:	FORT DODGE
State	:	IA
Zip	:	50501-3602
Country	:	US
Telephone Number	:	515-576-2235
Fax Number	:	515-576-6863

Provider Business Practice Location Address
First Line	:	24 N 9TH ST
Second Line	:	SUITE A
City	:	FORT DODGE
State	:	IA
Zip	:	50501-3905
Country	:	US
Telephone Number	:	515-574-6605
Fax Number	:	515-573-8710

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	11/25/2009

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