Provider Demographics
NPI:1558240283
Name:WARNER, KRISTEN (NP-C)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:WARNER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 SWITCHBACK LN
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-5885
Mailing Address - Country:US
Mailing Address - Phone:951-727-6969
Mailing Address - Fax:
Practice Address - Street 1:125 WHEELER AVE STE C
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3240
Practice Address - Country:US
Practice Address - Phone:626-294-4866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2116004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily