Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | MW010532 | PA |
NPI | 1154980910 |
---|---|
Provider Name | Darlis Janelle Varner |
First Address | Danville, PA 17822-4903 |
Second Address | Lewistown, PA 17044-1167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2019 |
Last Update Date | 12/08/2019 |