# NICOLE WARREN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326098146
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 209-005189 | IL | — |
| 367A00000X | Advanced Practice Midwife | R141805 | MD | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 05/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 029699600 | — | MD |
| 01 | — | 209-005189 | STATE LICENSE \# | IL |
