TRACEY ANN MILLER WARREN (NPI# 1336152172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336152172 |
| Entity Type | Individual |
| Full Name | TRACEY ANN MILLER WARREN |
| Other Name | TRACEY ANN PATRICE MILLER |
| Credential | PA |
| Practice Address |
1505 Delaware Ave Fort Pierce FL 34950-3975 |
| Mailing Address |
4450 S Tiffany Dr West Palm Beach FL 33407-3241 |
| Practice Telephone | 7724611402 |
| Practice Fax Number | 5618472306 |
| Mailing Telephone | 5618449443 |
| Mailing Fax Number | 5618441013 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9103831 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292578800 | 05 |
| Street Address |
1505 DELAWARE AVE |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938519 | Cheryl Elaine Wayne | Pediatrics | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2005-08-09 |
| 1457993586 | Kali Garcia Malpica | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2019-10-10 |
| 1851947568 | Emily Pham | Dentist | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2019-08-18 |
| 1396209466 | Stanley Jose Guerrero | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2019-01-23 |
| 1841771177 | Reinaldo Hernandez Silva | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2018-08-24 |
| 1366922288 | Bonnie Russo | Social Worker | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2018-08-20 |
| 1770063745 | Rene Leyva Quevedo | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2018-08-18 |
| 1275078487 | Serge Volma Valme | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2016-12-23 |
| 1184009052 | Melissa Allen Davis | Pharmacist | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2015-07-21 |
| 1518355403 | Florida Community Health Center | Pharmacy | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2014-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235567116 | Nathan Wade | Physician Assistant | 3851 Virginia Ave, Fort Pierce, FL 34981-5515 | 2013-10-31 |
| 1083931901 | Jean Rodrigue Dossous | Physician Assistant | 2212 Okeechobee Rd, Fort Pierce, FL 34950-6551 | 2010-05-02 |
| 1669565693 | Danielle Dean | Physician Assistant | 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 | 2006-10-02 |
| 1780690891 | Heather Ann Howard | Physician Assistant | 1801 S 23rd St # 9, Fort Pierce, FL 34950-4830 | 2006-07-31 |
| 1942240924 | Cynthia Mckeon | Physician Assistant | 2900 W Midway Rd, Fort Pierce, FL 34981-4955 | 2006-06-07 |
| 1477001717 | Michael Jared Hobbs | Physician Assistant | 4995 S Us Highway 1, Fort Pierce, FL 34982-7079 | 2016-09-15 |
| 1306393145 | Lauren Leeflang | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2016-09-09 |
| 1760887210 | Michael Jareth Swanson | Physician Assistant | 2402 Frist Blvd, Suite 204, Fort Pierce, FL 34950-4838 | 2014-10-27 |
| 1568520088 | Renee Levy | Physician Assistant | 2011 S 25th St Ste 105, Fort Pierce, FL 34947-4795 | 2006-12-05 |
| 1689770182 | Robert J. Schaffer | Physician Assistant | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2006-09-15 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
Please comment or provide details below to improve the information on TRACEY ANN MILLER WARREN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.