Provider Demographics
NPI:1720245368
Name:VARANELLI, MARK STEVEN (NREMT-P)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:STEVEN
Last Name:VARANELLI
Suffix:
Gender:M
Credentials:NREMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 OHIO DR SW
Mailing Address - Street 2:USPP / AVIATION UNIT
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-0001
Mailing Address - Country:US
Mailing Address - Phone:202-690-0738
Mailing Address - Fax:
Practice Address - Street 1:1100 OHIO DR SW
Practice Address - Street 2:USPP / AVIATION UNIT
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-0001
Practice Address - Country:US
Practice Address - Phone:202-690-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0100798146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic