Provider Demographics
NPI:1356401327
Name:WARNER, HILARY (MPH, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:
Last Name:WARNER
Suffix:
Gender:F
Credentials:MPH, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PINE CREST DR
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-4422
Mailing Address - Country:US
Mailing Address - Phone:603-223-8119
Mailing Address - Fax:603-223-8130
Practice Address - Street 1:18 N MAIN ST
Practice Address - Street 2:SUITE 304
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4926
Practice Address - Country:US
Practice Address - Phone:603-223-8119
Practice Address - Fax:603-223-8130
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH27133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH27Y003632NH02OtherANTHEM ID NUMBER
NHAA2217OtherHARVARD PILGRIM ID NUMBER
NH3280649OtherCIGNA ID NUMBER
NHAA2217OtherHARVARD PILGRIM ID NUMBER