Warnecke, Diana

Warnecke, Diana is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Ste 401, Peoria IL 61603-3105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Warnecke, Diana can be contacted via phone (309) 624-9844.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Ste 401 Peoria IL 61603-3105
Phone: (309) 624-9844
Fax: (309) 624-8884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209010353 Illinois

Profile Details

NPI number 1396183687
LBN Legal business name Warnecke, Diana
Credentials APN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2013
Last updated Jun 7th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396183687 NPPES
Illinois MEDICAID 376000511

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