MEDICARE: SHARON ANDERSON WARNECKE ARNP

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	163W00000X	Registered Nurse	ARNP1006082	FL

General Provider Information

NPI Number	:	1831448208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON ANDERSON WARNECKE ARNP

Provider Business Mailing Address
First Line	:	1570 WHISKEY CREEK DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-2724
Country	:	US
Telephone Number	:	239-482-3567
Fax Number	:

Provider Business Practice Location Address
First Line	:	1570 WHISKEY CREEK DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-2724
Country	:	US
Telephone Number	:	239-482-3567
Fax Number	:

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

Provider Enumeration Date	:	08/31/2012
Last Update Date	:	08/31/2012

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