Provider Demographics
NPI:1356213334
Name:WARNER, NATOSHA RASHIDA
Entity type:Individual
Prefix:
First Name:NATOSHA
Middle Name:RASHIDA
Last Name:WARNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GLENN
Other - Middle Name:
Other - Last Name:WARNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:237 MURPHY DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-7503
Mailing Address - Country:US
Mailing Address - Phone:866-376-5924
Mailing Address - Fax:
Practice Address - Street 1:237 MURPHY DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-7503
Practice Address - Country:US
Practice Address - Phone:866-376-5924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver