Provider Demographics
NPI:1780434183
Name:WARWICK, DANA NICOLE
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:NICOLE
Last Name:WARWICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASPIRUS WAUSAU FAMILY MEDICINE
Mailing Address - Street 2:425 WIND RIDGE DRIVE
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401
Mailing Address - Country:US
Mailing Address - Phone:715-675-3391
Mailing Address - Fax:
Practice Address - Street 1:ASPIRUS WAUSAU FAMILY MEDICINE
Practice Address - Street 2:425 WIND RIDGE DRIVE
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401
Practice Address - Country:US
Practice Address - Phone:715-675-3391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program