NPI | 1831265107 |
---|---|
Former Name | MECHELE L. WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 47680) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 47680) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2022-05-17 |