Warren, David
Warren, David is an individual health care provider with primary practice located at 1717 W Cowles St , Fairbanks AK 99701-5926. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Warren, David can be contacted via phone (907) 451-6682.Contact Information
Primary practice address
1717 W Cowles St
Fairbanks AK 99701-5926
Phone: (907) 451-6682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 125601 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP127410 | Texas |
Profile Details
| NPI number | 1275924417 |
|---|---|
| LBN Legal business name | Warren, David |
| Credentials | FNP, AGACNP, ENP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2015 |
| Last updated | Jul 30th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275924417 | NPPES |
| Texas | Other | P02352165 | MEDICARE RAIL ROAD |
| Texas | Other | P02352188 | MEDICARE RAIL ROAD |
| Texas | Other | 859417 | MEDICARE RAIL ROAD |
| Texas | Other | 8LG098 | MEDICARE RAIL ROAD |
| Texas | MEDICAID | 345655006 | MEDICARE RAIL ROAD |
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