Provider Demographics
NPI:1568530962
Name:WARNE, CATHY (FNP)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:WARNE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41392 CORTE NELLA VITA
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203-7711
Mailing Address - Country:US
Mailing Address - Phone:760-469-3684
Mailing Address - Fax:
Practice Address - Street 1:35400 BOB HOPE DR STE 210
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1774
Practice Address - Country:US
Practice Address - Phone:760-202-0686
Practice Address - Fax:760-770-4563
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0375531-22OtherANCC COMMISSION ON CERTIF
CA14492OtherCA BOARD OF REGIST NURSIN
CA14492OtherCA BOARD OF REGIST NURSIN