ROSEANNE CAROL WARNER (NPI# 1619964947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619964947 |
| Entity Type | Individual |
| Full Name | ROSEANNE CAROL WARNER |
| Credential | NP |
| Practice Address |
208 W Casablanca Ave 27 Medical Group Bldg 1400 Cannon Afb Clovis NM 88103-5009 |
| Practice Telephone | 5057846608 |
| Practice Fax Number | 5057846028 |
| Mailing Telephone | 5057846608 |
| Mailing Fax Number | 5057846028 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
656048 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
208 W CASABLANCA AVE 27 MEDICAL GROUP BLDG 1400 CANNON AFB |
| City | CLOVIS |
| State | NM |
| Zip Code | 88103-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902041 | Katherine Ann Craft | Dietitian, Registered | 208 W Casablanca Ave, Clovis, NM 88103-5009 | 2017-10-02 |
| 1801132220 | Dena Levari | Military Health Care Provider | 208 W Casablanca Ave, Clovis, NM 88103-5009 | 2012-12-13 |
| 1245474667 | Daniel Lewis Tyson | Military Health Care Provider | 208 W Casablanca Ave, Clovis, NM 88103-5009 | 2009-04-29 |
| 1851372858 | Robert Dale Bitner | Physician Assistant | 208 W Casablanca Ave, Bldg 1400 Cannon Afb 27 Medical Group, Clovis, NM 88103-5009 | 2005-11-08 |
| 1043208838 | Marla Dianne Buckles | Nurse Practitioner | 208 W Casablanca Ave, 27 Medical Group Bldg 1400 Cannon Afb, Clovis, NM 88103-5009 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346747151 | Isabella Wolak | Pharmacist | 224 D L Ingram Blvd, Cannon Afb, NM 88103 | 2018-04-09 |
| 1225480544 | Stacey Tatro | Dentist | 224 West D.l. Ingram Ave., Bldg 1408, Cannon Afb, NM 88103 | 2016-07-11 |
| 1871965673 | Chad Bryan Carter | Dentist | 224 W Dl Ingram Ave, Sgpd/dental Clinic, Cannon Air Force Base, NM 88103 | 2015-10-20 |
| 1740660836 | Terah Clifford | Dental Hygienist | 224 W Dl Ingram Blvd, Bldg 1408 Dental Clinic, Cannon Afb, NM 88103 | 2015-06-03 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1588071328 | Gretchen Evelynn Szymanski | Nurse Practitioner | Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 | 2014-07-14 |
| 1396155206 | Jennifer Brynn Bendokas | Physician Assistant | 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 | 2014-04-30 |
| 1366889487 | Jeremy Michael Strohmayer | General Practice | 511 Chindt Blvd Building 300, 27soss/osm, Cannon Afb, NM 88103 | 2013-05-30 |
| 1356622401 | Matthew John Nielsen | Dentist | 224 W D.l. Ingram, Bld. 1408, Cannon Afb, NM 88103 | 2011-09-02 |
| 1689965485 | Bryan Wade Sixkiller | Optometrist | 27th Somdg, 208 W. Casa Blanca Ave., Apo, AA 88103 | 2011-04-27 |
| Find all providers in zip 88103 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063674398 | Margaret Hemm | Nurse Practitioner | 1521 W 13th St, Clovis, NM 88101-5568 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326433269 | Mollie Flint Rieff | Nurse Practitioner | 1751 Old Pecos Trl Ste N, Santa Fe, NM 87505-4706 | 2015-03-30 |
| 1588071328 | Gretchen Evelynn Szymanski | Nurse Practitioner | Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 | 2014-07-14 |
| 1386938553 | Dina Jene Reid | Nurse Practitioner | 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 | 2011-06-06 |
| 1174645113 | Joanne Marlene Williams | Nurse Practitioner | 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 | 2007-04-03 |
| 1841329992 | Elena A. Olivas | Nurse Practitioner | 865 N Main, Anthony, NM 88021-9325 | 2007-03-05 |
| 1669501813 | Ramsey Allen | Nurse Practitioner | 1306 W Stevens St, Carlsbad, NM 88220-4240 | 2007-03-05 |
| 1841329307 | Susan Lorraine Garrison | Nurse Practitioner | 2610 N Silver St, Silver City, NM 88061-7299 | 2007-03-02 |
| 1699803890 | Mary J Mendoza | Nurse Practitioner | 200 E Chisum St, Roswell, NM 88203-5406 | 2007-03-01 |
| 1902940109 | Velia Luna I | Nurse Practitioner | 215 S Silver Ave, Deming, NM 88030-3715 | 2007-02-19 |
| 1295879443 | Minerva Ann Claus | Nurse Practitioner | 1170 N Solano Dr Ste A, Las Cruces, NM 88001-2371 | 2007-02-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.