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NPI Code Detail

MEDICARE: NATHAN WARDER

MEDICARE:   NATHAN  WARDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN11006150FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093349052
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN WARDER
Provider Business Mailing Address
First Line : 342 WIMBLEDON LN
Second Line :
City : NAPLES
State : FL
Zip : 34104-6598
Country : US
Telephone Number : 404-617-4261
Fax Number :
Provider Business Practice Location Address
First Line : 6605 HILLWAY CIR STE 101
Second Line :
City : NAPLES
State : FL
Zip : 34112-8754
Country : US
Telephone Number : 239-262-6550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2020
Last Update Date : 11/12/2025

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Directions to “ NATHAN WARDER ” Practice Location

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