Individual
CHARISE ELIZABETH WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8TH AVE C ST, SALT LAKE CITY, UT 84143-1437
(801) 408-3425
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
—
—
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
—
363L00000X
Nurse Practitioner
Primary
373935-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2023
Last updated
08/13/2025
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