| NPI | 1760072235 | 
|---|---|
| Former Name | ANNE CATHERINE VAREVICE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8373)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R205792-5)  | 
| Enumeration Date | 2021-01-19 | 
| Last Update Date | 2022-10-07 |