Provider Demographics
NPI:1992858914
Name:WARNICK, MARIA PESANSKY (MSN,CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:PESANSKY
Last Name:WARNICK
Suffix:
Gender:F
Credentials:MSN,CRNP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:PESANSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2439 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2603
Mailing Address - Country:US
Mailing Address - Phone:610-649-5327
Mailing Address - Fax:610-667-1481
Practice Address - Street 1:145 N NARBERTH AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1923
Practice Address - Country:US
Practice Address - Phone:610-667-0650
Practice Address - Fax:610-667-1481
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP004386B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily