Provider Demographics
NPI:1003115338
Name:WARNER, CYNTHIA
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:WARNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 E YALE AVE
Mailing Address - Street 2:H304
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-6055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:215 SAINT PAUL ST
Practice Address - Street 2:205
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5124
Practice Address - Country:US
Practice Address - Phone:303-333-4062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist