Healthcare Provider Details

I. General information

NPI: 1114326139
Provider Name (Legal Business Name): DONNA WARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA ENRIGHT

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 01/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W SPRAGUE AVE
SPOKANE WA
99201-3667
US

IV. Provider business mailing address

5203 EAST JAMIESON ROAD
SPOKANE WA
99223
US

V. Phone/Fax

Practice location:
  • Phone: 509-343-5409
  • Fax:
Mailing address:
  • Phone: 360-509-6303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: