Provider Demographics
NPI:1932373693
Name:WARNER, FRANCENE AYANNA (MD)
Entity Type:Individual
Prefix:MISS
First Name:FRANCENE
Middle Name:AYANNA
Last Name:WARNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7060
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-7060
Mailing Address - Country:US
Mailing Address - Phone:480-444-2017
Mailing Address - Fax:480-718-1301
Practice Address - Street 1:595 N DOBSON RD STE D65
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4234
Practice Address - Country:US
Practice Address - Phone:480-718-1300
Practice Address - Fax:480-718-1301
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0061618207R00000X
AZ41319207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA001618OtherRESIDENCY TRAINING PERMIT
AZ456747Medicaid