Healthcare Provider Details

I. General information

NPI: 1518340983
Provider Name (Legal Business Name): ANNA KIRSTEN WARNES APRN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2015
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2621 GREENHAVEN RD
ANOKA MN
55303-5566
US

IV. Provider business mailing address

8170 33RD AVENUE SOUTH MAILSTOP 21110Q
BLOOMINGTON MN
55425
US

V. Phone/Fax

Practice location:
  • Phone: 763-587-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2521495
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11031
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: