Provider Demographics
NPI:1275565517
Name:WARCHOCKI, KARIN DEANN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:DEANN
Last Name:WARCHOCKI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:KARIN
Other - Middle Name:DEANN
Other - Last Name:BULLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:801 7TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2733
Practice Address - Country:US
Practice Address - Phone:682-885-4054
Practice Address - Fax:682-885-7497
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9247783367500000X
IL041339455367500000X
FLARNP9247783367500000X
TXAP109357367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308844880Medicaid
FL307874400Medicaid
FLAI140YMedicare PIN
FL307874400Medicaid