Provider Demographics
NPI:1598703209
Name:WARREN-MUSA, WINNETTE (CRNA)
Entity Type:Individual
Prefix:
First Name:WINNETTE
Middle Name:
Last Name:WARREN-MUSA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5159 PARK TRACE DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4522
Mailing Address - Country:US
Mailing Address - Phone:205-989-3434
Mailing Address - Fax:205-989-6688
Practice Address - Street 1:5159 PARK TRACE DR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4522
Practice Address - Country:US
Practice Address - Phone:205-989-3434
Practice Address - Fax:205-989-6688
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1R0070724374T00000X
PARN-3525595-L374T00000X
TX224688374T00000X
TNRN0000132158374T00000X
KY4088A374T00000X
ARR69010374T00000X
AL1-093620374T00000X
ME52220374T00000X
TNAPN15337367500000X
TNRN132158367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel