SANDRA MARY WARREN PA-C NPI 1578890646

NPI Information

NPI: 1578890646
Provider Name: SANDRA MARY WARREN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
25 MONUMENT RD STE 105
YORK, PA
ZIP 17403
Phone: (717) 851-7575
Get Directions

Sandra Mary Warren, PA-C is a medical physician assistant in York, PA. Sandra Mary Warren, PA-C NPI is 1578890646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 MONUMENT RD STE 105
YORK, PA
ZIP 17403-049
Phone: (717) 851-7575
Fax: (717) 798-3702

The NPI 1578890646 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2009 and was last updated on 7/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		MA054246	PENNSYLVANIA	No
2	363AM0700X	Physician Assistant	Medical	MA054246	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2133744	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD-FREEDOM BLUE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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