Provider Demographics
NPI:1780480178
Name:WARNER, TODD A
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:A
Last Name:WARNER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4542 COLFAX CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-1629
Mailing Address - Country:US
Mailing Address - Phone:531-350-2055
Mailing Address - Fax:
Practice Address - Street 1:4542 COLFAX CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-1629
Practice Address - Country:US
Practice Address - Phone:531-350-2055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant