Individual
DUSTIN LOGAN WARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2722
Mailing address
1796 BIRCHFIELD CT, POWELL, OH 43065-9245
(614) 961-6133
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN.434488
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.0027474
OH
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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