Individual
MARY ANN WARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
2220 RIVERSIDE AVE, MS 26602G, MINNEAPOLIS, MN 55454-1321
(952) 883-6805
(952) 883-6117
Mailing address
PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(952) 883-7172
(952) 853-8727
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
212837-23
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
940818500
—
MN
Enumeration date
10/03/2005
Last updated
10/10/2016
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