Doctor Name: | KATHLEEN WARNER |
NPI Number: | 1336477595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 86581 |
Business Practice Address: | 1729 K 3/4 Rd Fruita, CO - 815212256 |
Business Phone Number: | 9706408389 |
Business Fax Number: | |
Mailing Address: | 1729 K 3/4 Rd, FRUITA |
State: | CO |
Postal Code: | 815212256 |
Phone Number: | 9706408389 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2009 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 86581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |