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Individual

MS. CAROL RAE WARFIELD

Active
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Individual

MS. CAROL RAE WARFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-000684
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041112424
RN LICENSE
IL
01
209000684
NURSE PRACTITIONER LICENSE
IL
01
309000228
NURSE PRACTITIONER CONTROLLED SUBS LICENSE
IL
Enumeration date
06/25/2006
Last updated
03/07/2023
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