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Individual
LINDA ELAINE WARREN
Active
Individual
LINDA ELAINE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704137000
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4600781
—
MI
01
—
C810570
BCBSM GROUP
MI
01
—
P00146040
RR MEDICARE
MI
Enumeration date
05/12/2006
Last updated
11/27/2007
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