MEDICARE: DR. NICHOLAS FIELD WARNER DC

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	111N00000X	Chiropractor	5803	AZ
2	111N00000X	Chiropractor	24849	CA

General Provider Information

NPI Number	:	1811966013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS FIELD WARNER DC

Provider Business Mailing Address
First Line	:	14001 N 7TH ST STE 109
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-4382
Country	:	US
Telephone Number	:	602-863-4252
Fax Number	:	602-863-4571

Provider Business Practice Location Address
First Line	:	14001 N 7TH ST STE 109
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-4382
Country	:	US
Telephone Number	:	602-863-4252
Fax Number	:	602-863-4571

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	11/09/2022

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Directions to “ DR. NICHOLAS FIELD WARNER DC” Practice Location

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