Provider Demographics
NPI:1124168265
Name:WARRINER, CYNTHIA L (APN; LMFT)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:L
Last Name:WARRINER
Suffix:
Gender:F
Credentials:APN; LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S 8TH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-7335
Mailing Address - Country:US
Mailing Address - Phone:719-440-0126
Mailing Address - Fax:719-632-4078
Practice Address - Street 1:1301 S 8TH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-7335
Practice Address - Country:US
Practice Address - Phone:719-440-0126
Practice Address - Fax:719-632-4078
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO119357363LP0808X
CO774106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist