# TAHOE TRUCKEE ADVANCED PSYCHIATRIC NURSING A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366296600
- **Authorized official:** KATINA VARZOS DNP, PMHNP-BC (PROVIDER)
- **Authorized official phone:** (203) 314-6075

## Contact information

- **Practice address:** 10368 DONNER PASS RD, TRUCKEE, CA 96161-0427
- **Practice address phone:** (775) 298-1118
- **Mailing address:** 12121 SIERRA DR E, TRUCKEE, CA 96161-5050
- **Mailing address phone:** (203) 314-6075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2024
- **Last updated:** 07/29/2024