Provider Demographics
NPI:1205654712
Name:WARRINER, RICHARD L III (RN)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:WARRINER
Suffix:III
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 ROSEMEAD BLVD APT O
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1961
Mailing Address - Country:US
Mailing Address - Phone:661-714-3740
Mailing Address - Fax:
Practice Address - Street 1:3930 ROSEMEAD BLVD APT O
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1961
Practice Address - Country:US
Practice Address - Phone:661-714-3740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035560163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health