Provider Demographics
NPI:1154389393
Name:WARNER, DONNA G (MSN, FNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:G
Last Name:WARNER
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:G
Other - Last Name:PEERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1101 WILSON BLVD FL 6
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-2281
Mailing Address - Country:US
Mailing Address - Phone:888-731-8994
Mailing Address - Fax:
Practice Address - Street 1:1101 WILSON BLVD FL 6
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-2281
Practice Address - Country:US
Practice Address - Phone:888-731-8994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2025-01-28
Deactivation Date:2021-09-22
Deactivation Code:
Reactivation Date:2021-10-07
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14954800363LF0000X
DELG-0012733363LF0000X
MDAC006781363LF0000X
PANPPA065275363LF0000X
VA0024117998363LF0000X
VA0001117998163W00000X
FLTPAN1906363LF0000X
AKNURU1241363LF0000X
MAAPRN10000325363LF0000X
OHAPRNCNP0035201363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010291739Medicaid
0256078OtherANCC CERTIFICATE
VA010291712Medicaid
VA0017001571OtherAUTH TO PRESCRIBE LICENSE
VA017666C19Medicare PIN
VA010291712Medicaid
VA010291739Medicaid