Provider Demographics
NPI:1275417503
Name:UKERD, VARAPORN
Entity type:Individual
Prefix:MISS
First Name:VARAPORN
Middle Name:
Last Name:UKERD
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MAE
Other - Middle Name:
Other - Last Name:UKERD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3489 SUNNY DUNES CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5080
Mailing Address - Country:US
Mailing Address - Phone:773-969-1415
Mailing Address - Fax:
Practice Address - Street 1:4613 W DESERT INN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-7116
Practice Address - Country:US
Practice Address - Phone:702-758-9539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV372500000X, 372600000X, 376J00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker