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NPI Code Detail

MEDICARE: WARBURTON FAMILY PRACTICE PLLC

MEDICARE: WARBURTON FAMILY PRACTICE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1275125338
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARBURTON FAMILY PRACTICE PLLC
Provider Business Mailing Address
First Line : 2510 WIGWAM PKWY STE 102
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7115
Country : US
Telephone Number : 702-283-2552
Fax Number :
Provider Business Practice Location Address
First Line : 2510 WIGWAM PKWY STE 102
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7115
Country : US
Telephone Number : 702-283-2552
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANDREA WARBURTON
Credential : PA
Telephone Number : 281-818-7503
Provider Enumeration Date : 02/09/2021
Last Update Date : 02/09/2021

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Directions to “WARBURTON FAMILY PRACTICE PLLC ” Practice Location

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