Provider Demographics
NPI:1952532947
Name:WARNER, WENDY JANE (RN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:JANE
Last Name:WARNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 SW 27TH CT
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-4720
Mailing Address - Country:US
Mailing Address - Phone:239-560-8445
Mailing Address - Fax:866-628-3609
Practice Address - Street 1:3045 SW 27TH CT
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-4720
Practice Address - Country:US
Practice Address - Phone:239-560-8445
Practice Address - Fax:866-628-3609
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9239218251E00000X, 252Y00000X, 253J00000X, 253Z00000X, 163W00000X, 163WC0400X, 163WP0807X, 163WP0809X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No251E00000XAgenciesHome Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No251B00000XAgenciesCase Management