Individual
PATRICIA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2414
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN43516
DC
363LA2100X
Acute Care Nurse Practitioner
CNP141028
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035608700
—
DC
05
—
404945400
—
MD
Enumeration date
06/20/2006
Last updated
04/27/2017
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