Provider Demographics
NPI:1285445452
Name:WARNER, CHEVILLE R
Entity type:Individual
Prefix:MISS
First Name:CHEVILLE
Middle Name:R
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 1:7426 GROVER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3553
Mailing Address - Country:US
Mailing Address - Phone:402-515-1374
Mailing Address - Fax:531-484-2788
Practice Address - Street 1:7426 GROVER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3553
Practice Address - Country:US
Practice Address - Phone:402-515-1374
Practice Address - Fax:531-484-2788
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider