Provider Demographics
NPI:1164273124
Name:WARFIELD, DEVIN CEDRIC (FNP-C)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:CEDRIC
Last Name:WARFIELD
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 BONITA BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-3228
Mailing Address - Country:US
Mailing Address - Phone:904-861-5711
Mailing Address - Fax:
Practice Address - Street 1:1740 BONITA BLUFF CT
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-3228
Practice Address - Country:US
Practice Address - Phone:904-861-5711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF03240428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily