NPI | 1134151822 |
---|---|
Other Name | RICK T WARREN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 1134151822) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 084054476N3) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2021-02-16 |