Individual
AMBER LYNN VARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1213 N WATER ST, MANITOWOC, WI 54220-3201
(920) 645-5634
Mailing address
2328 ELM AVE, SHEBOYGAN, WI 53081-5526
(920) 254-3627
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322261-31
WI
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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