Doctor Name: | MRS. ELIZABETH ANN WARMAN |
NPI Number: | 1134391626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PC-C |
License Number: | T01807 |
Business Practice Address: | 611 N Main St Ellinwood, KS - 675261440 |
Business Phone Number: | 6205643771 |
Business Fax Number: | 6205642684 |
Mailing Address: | 611 N Main St, ELLINWOOD |
State: | KS |
Postal Code: | 675261440 |
Phone Number: | 6205643771 |
Fax Number: | |
NPI Enumeration Date: | 03/25/2008 |
NPI Last Update Date: | 08/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | T01807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |