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NPI Code Detail

MEDICARE: CRISTA B WARNIMENT MD

MEDICARE: CRISTA B WARNIMENT MD
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
1390200000XStudent in an Organized Health Care Education/Training Program0116017599VA
2207Q00000XFamily Medicine Physician0101243812VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MC10431OTHERMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962624072
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTA B WARNIMENT MD
Provider Business Mailing Address
First Line : 160 WARRIOR DR
Second Line :
City : STEPHENS CITY
State : VA
Zip : 22655-4044
Country : US
Telephone Number : 540-868-4100
Fax Number : 540-868-0888
Provider Business Practice Location Address
First Line : 160 WARRIOR DR
Second Line :
City : STEPHENS CITY
State : VA
Zip : 22655-4044
Country : US
Telephone Number : 540-868-4100
Fax Number : 540-868-0888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 04/21/2015

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