Provider Demographics
NPI:1871564658
Name:WARNER, PATRICIA ANN (ARNP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:WARNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 WELLINGTON WAY
Mailing Address - Street 2:SUITE 275
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1259
Mailing Address - Country:US
Mailing Address - Phone:859-219-2828
Mailing Address - Fax:859-219-0524
Practice Address - Street 1:1055 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-8037
Practice Address - Country:US
Practice Address - Phone:502-839-5590
Practice Address - Fax:502-839-3450
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3823P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000321169OtherBCBS HHC
7649508OtherAETNA HHC
000000489276OtherBCBS APC
KY78023413Medicaid
1206236OtherCHA HHC
KY0912211Medicare ID - Type UnspecifiedPARAGON
KY78023413Medicaid
1206236OtherCHA HHC