Provider Demographics
NPI:1629385794
Name:WARNER, LEAH DANIELLE (FNP)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:DANIELLE
Last Name:WARNER
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 1:1748 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5800
Mailing Address - Country:US
Mailing Address - Phone:415-565-7667
Mailing Address - Fax:415-252-7512
Practice Address - Street 1:1748 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-5800
Practice Address - Country:US
Practice Address - Phone:415-565-7667
Practice Address - Fax:415-252-7512
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20242363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily