Healthcare Provider Details

I. General information

NPI: 1942790456
Provider Name (Legal Business Name): MICHELLE WARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 HILL RD N
PICKERINGTON OH
43147-8592
US

IV. Provider business mailing address

1209 HILL RD N PMB 176
PICKERINGTON OH
43147-8888
US

V. Phone/Fax

Practice location:
  • Phone: 855-467-3272
  • Fax: 614-834-7977
Mailing address:
  • Phone: 855-467-3272
  • Fax: 614-834-7977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number18-53248
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: