Healthcare Provider Details

I. General information

NPI: 1528088820
Provider Name (Legal Business Name): NANCY E WARNER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 HOLLISTER AVE STE 110
SANTA BARBARA CA
93111-2379
US

IV. Provider business mailing address

5310 VIA REAL
CARPINTERIA CA
93013-1439
US

V. Phone/Fax

Practice location:
  • Phone: 805-683-0055
  • Fax: 805-683-0149
Mailing address:
  • Phone: 805-684-2411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN275223
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: