NPI | 1629418439 |
---|---|
Other Name | ANGELA MARIE WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172088) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28176997A) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2024-11-08 |