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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 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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