Provider Demographics
NPI:1962955310
Name:WARNER, WILLIAM (HIS, RN, BSN)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:WARNER
Suffix:
Gender:M
Credentials:HIS, RN, BSN
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:
Other - Last Name:WARNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HIS, RN, BSN
Mailing Address - Street 1:1941 S 42ND ST STE 416-U
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2939
Mailing Address - Country:US
Mailing Address - Phone:402-810-0355
Mailing Address - Fax:855-632-2786
Practice Address - Street 1:1941 S 42ND ST STE 416-U
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2939
Practice Address - Country:US
Practice Address - Phone:402-810-0355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA96304237700000X
NE78195163W00000X
NE846237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty