Individual
MS. WANDA G WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-1000
Mailing address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN085964
LA
363LF0000X
Family Nurse Practitioner
Primary
AP04212
LA
363LS0200X
School Nurse Practitioner
AP04212
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479721
—
LA
Enumeration date
11/17/2008
Last updated
05/19/2021
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