ROSEANNE CAROL WARNER NP NPI 1619964947

NPI Information

NPI: 1619964947
Provider Name: ROSEANNE CAROL WARNER, NP
Classification: Nurse Practitioner - 363LW0102X
Specialization: Women's Health
Entity Type: Individual
Address: 208 W CASABLANCA AVE
27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM
ZIP 88103
Phone: (505) 784-6608

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NPI Details

Roseanne Carol Warner, NP is a women's health nurse practitioner in Clovis, NM. Roseanne Carol Warner, NP NPI is 1619964947. 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:

208 W CASABLANCA AVE
27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM
ZIP 88103-009
Phone: (505) 784-6608
Fax: (505) 784-6028

The enumeration date for this NPI number is 10/3/2005 and was last updated on 7/8/2007.

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	363LW0102X	Nurse Practitioner	Women's Health	656048	TEXAS	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	VAD000	MEDICARE UPIN

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: 11/21/2025

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