Provider Demographics
NPI:1144354358
Name:WARNER, DOLLY LEE (NP)
Entity type:Individual
Prefix:
First Name:DOLLY
Middle Name:LEE
Last Name:WARNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1455 COAL CREEK DRIVE
Mailing Address - Street 2:UNIT G
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026
Mailing Address - Country:US
Mailing Address - Phone:303-665-2423
Mailing Address - Fax:720-302-1622
Practice Address - Street 1:1455 COAL CREEK DRIVE
Practice Address - Street 2:UNIT G
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026
Practice Address - Country:US
Practice Address - Phone:303-665-2423
Practice Address - Fax:720-302-1622
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO109123163WG0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice