Individual
REBECCA HENTZE VARNADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1051 GAUSE BLVD STE 320, SLIDELL, LA 70458-2988
(985) 641-7577
Mailing address
70292 10TH ST, COVINGTON, LA 70433-5351
(504) 915-1582
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214083
LA
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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