Provider Demographics
NPI:1922497445
Name:WARNER, AMY LYNN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:WARNER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:50 EASTERN AVE
Practice Address - Street 2:SUITE 144
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-1100
Practice Address - Country:US
Practice Address - Phone:717-597-5553
Practice Address - Fax:717-597-5522
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2016-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP014898363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103022505Medicaid