Provider Demographics
NPI:1093843732
Name:WARNER, MARGARET (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:WARNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4235 INDIAN RIPPLE RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-3247
Mailing Address - Country:US
Mailing Address - Phone:937-427-9202
Mailing Address - Fax:937-427-9671
Practice Address - Street 1:3508 MARKET ST STE 213
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3320
Practice Address - Country:US
Practice Address - Phone:267-754-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704398896363L00000X
TN32553363L00000X
VA0024187048363L00000X
KY3016636363L00000X
FLAPRN11015043363L00000X
NC5015175363L00000X
OH3608363L00000X
OHNP03608363LP2300X
PASP025796363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBRNP16231Medicare PIN