| Mr Walter Howard Warriner, NPP | |
|
356 Main Street, Randolph, NY 14772 | |
| (716) 358-3636 | |
| (716) 358-2342 |
| Full Name | Mr Walter Howard Warriner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 356 Main Street, Randolph, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215911979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F400900 (New York) | Primary |
| Entity Name | Tlc Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487738886 PECOS PAC ID: 9335059757 Enrollment ID: O20031103000403 |
| Entity Name | Seneca Nation Of Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
| Entity Name | Olean General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20040401001531 |
| Entity Name | Upmc Chautauqua At Wca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295033298 PECOS PAC ID: 4385630342 Enrollment ID: O20040423000846 |
| Entity Name | Jamestown Psychiatric Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700062247 PECOS PAC ID: 0244314631 Enrollment ID: O20080225000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Walter Howard Warriner, NPP 356 Main Street,, Randolph, NY 14772 Ph: (716) 358-3636 | Mr Walter Howard Warriner, NPP 356 Main Street, Randolph, NY 14772 Ph: (716) 358-3636 |