Individual
NICOLE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
525 N WOLFE ST, ROOM 448, BALTIMORE, MD 21205-2110
(410) 502-6264
(410) 502-5481
Mailing address
PO BOX 64313, BALTIMORE, MD 21264-4313
(410) 614-2274
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209-005189
IL
367A00000X
Advanced Practice Midwife
Primary
R141805
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029699600
—
MD
01
—
209-005189
STATE LICENSE #
IL
Enumeration date
05/11/2006
Last updated
05/03/2010
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