MEDICARE: CHRISTINE A WARNER RN

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	163WM0705X	Medical-Surgical Registered Nurse	95145280	CA

General Provider Information

NPI Number	:	1497687305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE A WARNER RN

Provider Business Mailing Address
First Line	:	777 1 ST ST PMB 225
Second Line	:
City	:	GILROY
State	:	CA
Zip	:	95020
Country	:	US
Telephone Number	:	863-529-2927
Fax Number	:

Provider Business Practice Location Address
First Line	:	1955 W SOCRUM LOOP RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33810-0342
Country	:	US
Telephone Number	:	863-529-2927
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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