Individual
KIANNA W WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 MASSACHUSETTS AVE STE 5C, BOSTON, MA 02118-2605
(603) 669-7321
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2337125
MA
363LA2200X
Adult Health Nurse Practitioner
087398-23
NH
363LG0600X
Gerontology Nurse Practitioner
087398-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110197996A
—
MA
05
—
3135304
—
NH
Enumeration date
02/02/2022
Last updated
04/17/2024
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