Individual
MR. WALTER HOWARD WARRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NPP
Contact information
Practice address
356 MAIN STREET, RANDOLPH, NY 14772
(716) 358-3636
(716) 358-2342
Mailing address
356 MAIN STREET,, RANDOLPH, NY 14772
(716) 358-3636
(716) 358-2342
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400900
NY
Other
Enumeration date
12/05/2005
Last updated
03/17/2009
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