Provider Demographics
NPI:1902634835
Name:DUARTE VARELA, NANCY D
Entity type:Individual
Prefix:
First Name:NANCY D
Middle Name:
Last Name:DUARTE VARELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 PENNFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33974-9833
Mailing Address - Country:US
Mailing Address - Phone:786-486-8163
Mailing Address - Fax:
Practice Address - Street 1:399 PENNFIELD AVE
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33974-9833
Practice Address - Country:US
Practice Address - Phone:786-486-8163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician