MEDICARE: DEBARAH WARNER FNP

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
1	363LF0000X	Family Nurse Practitioner	256155	AZ

General Provider Information

NPI Number	:	1396328977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBARAH WARNER FNP

Provider Business Mailing Address
First Line	:	PO BOX 188
Second Line	:
City	:	MARANA
State	:	AZ
Zip	:	85653-0188
Country	:	US
Telephone Number	:	520-887-0800
Fax Number	:	520-887-1393

Provider Business Practice Location Address
First Line	:	1323 W PRINCE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-3114
Country	:	US
Telephone Number	:	520-887-0800
Fax Number	:	520-887-1393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2021
Last Update Date	:	01/29/2026

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