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Individual
MRS. MICHELLE MARIE WARDEN
Active
Individual
MRS. MICHELLE MARIE WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.C.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-129654-122
KS
163W00000X
Registered Nurse
714109
TX
363LA2100X
Acute Care Nurse Practitioner
122795
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
53-76611-122
KS
Other
Enumeration date
12/21/2012
Last updated
10/12/2019
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