NPI 1164837738

Tya Warner

Practitioner Licensed Practical Nurse Canastota, NY

Practice location

Address: 211 W Park St, Canastota, NY 13032-1229
Phone: (315) 761-7245

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 10 287675 (NY)

Other Licensed Practical Nurse providers in New York →

Registry record

NPI: 1164837738
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jun 2014
Record last updated: 23 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.