Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 26NJ00717500 | NJ |
NPI | 1023397650 |
---|---|
Provider Name | Christina Warner |
First Address | Emerson, NJ 07630-1368 |
Second Address | Emerson, NJ 07630-1368 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2011 |
Last Update Date | 16/03/2021 |