Provider Demographics
NPI:1194558650
Name:WARNER, NOCKEYER
Entity type:Individual
Prefix:MRS
First Name:NOCKEYER
Middle Name:
Last Name:WARNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5358 S VINCENT
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-9114
Mailing Address - Country:US
Mailing Address - Phone:504-495-3285
Mailing Address - Fax:
Practice Address - Street 1:5358 S VINCENT
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-9114
Practice Address - Country:US
Practice Address - Phone:504-495-3285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool