Individual provider · NPI-1

Dermitra A Warner

Technician, Attendant Care Provider · Newport News, VA

NPI number1487399515
StatusActive
Last updated in NPPESMay 3, 2022

Details

NPI
1487399515
Entity type
Individual (NPI-1)
Name
Mr. Dermitra A Warner
Sex
Male
Sole proprietor
No
Enumeration date
May 3, 2022
Certification date
May 3, 2022
Last updated
May 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

103 Bayberry Dr
Newport News, VA 23601-1007

Phone 757-270-6083

Mailing address

103 Bayberry Dr
Newport News, VA 23601-1007

Phone 757-270-6083

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician, Attendant Care Provider providers in Newport News, VA