Individual
KATHRYN A WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1600 DELTA WATERS RD, SUITE 107, MEDFORD, OR 97504-9114
(541) 858-2515
(541) 858-2514
Mailing address
815 N CENTRAL AVE, SUITE C, MEDFORD, OR 97501-5873
(541) 734-9030
(541) 734-9885
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
200843159RN
OR
363LF0000X
Family Nurse Practitioner
Primary
200950004NP FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20095004NP
MEDICAL LICENSE
—
Enumeration date
01/06/2009
Last updated
03/07/2023
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