Individual
ELIZABETH WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1999 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2828
(215) 228-9300
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017923
PA
Other
Enumeration date
10/03/2017
Last updated
10/09/2017
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