MEDICARE: MS. CYNTHIA L WARRINER APN; LMFT

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	119357	CO
2	106H00000X	Marriage & Family Therapist	774	CO

General Provider Information

NPI Number	:	1124168265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA L WARRINER APN; LMFT

Provider Business Mailing Address
First Line	:	1301 S 8TH ST
Second Line	:	SUITE 109
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-7335
Country	:	US
Telephone Number	:	719-440-0126
Fax Number	:	719-632-4078

Provider Business Practice Location Address
First Line	:	1301 S 8TH ST
Second Line	:	SUITE 109
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-7335
Country	:	US
Telephone Number	:	719-440-0126
Fax Number	:	719-632-4078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	02/08/2026

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