| NPI | 1093368425 |
|---|---|
| Former Name | CONNIE M WARREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H155105) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IA H155105) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IA H155105) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2023-05-08 |