Provider Demographics
NPI:1659795227
Name:WARNER, SHEENA DANIELLE (CRNA)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:DANIELLE
Last Name:WARNER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SHEENA
Other - Middle Name:DANIELLE
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1 WYOMING ST
Mailing Address - Street 2:STE 3027A
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2722
Mailing Address - Country:US
Mailing Address - Phone:937-208-6173
Mailing Address - Fax:937-208-3843
Practice Address - Street 1:1 WYOMING ST
Practice Address - Street 2:STE 3027A
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2722
Practice Address - Country:US
Practice Address - Phone:937-208-6173
Practice Address - Fax:937-208-3843
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18189367500000X
OHAPRN.CRNA.019928367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered