Provider Demographics
NPI:1295526424
Name:FLORIAN VARELA, EDIN NOE
Entity type:Individual
Prefix:
First Name:EDIN
Middle Name:NOE
Last Name:FLORIAN VARELA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-4019
Mailing Address - Country:US
Mailing Address - Phone:308-267-3423
Mailing Address - Fax:
Practice Address - Street 1:1219 W 11TH ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-4019
Practice Address - Country:US
Practice Address - Phone:308-267-3423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker