Provider Demographics
NPI:1396830097
Name:WARNAT, MARK RYAN (PA-C)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:RYAN
Last Name:WARNAT
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:260 MERRIMAC ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2192
Mailing Address - Country:US
Mailing Address - Phone:978-499-7200
Mailing Address - Fax:978-499-7288
Practice Address - Street 1:260 MERRIMAC ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2192
Practice Address - Country:US
Practice Address - Phone:978-499-7200
Practice Address - Fax:978-499-7288
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2014-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2071363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant