Healthcare Provider Details

I. General information

NPI: 1336085687
Provider Name (Legal Business Name): SHAQUAVIA ARMANI WARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MERCHANTS ROW BLVD APT 214
TALLAHASSEE FL
32311-3662
US

IV. Provider business mailing address

2500 MERCHANTS ROW BLVD
TALLAHASSEE FL
32311-3656
US

V. Phone/Fax

Practice location:
  • Phone: 689-318-3069
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: