Healthcare Provider Details

I. General information

NPI: 1255690111
Provider Name (Legal Business Name): ASHLEIGH MEGHAN WARMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEIGH MEGHAN SULLIVAN CRNA

II. Dates (important events)

Enumeration Date: 05/14/2012
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9630 S LOTUS PT
HOMOSASSA FL
34448-5200
US

IV. Provider business mailing address

320 E NORTH AVE
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 724-290-0656
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN532309
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11006667
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: