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Individual

KARA ELIZABETH WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
3120 GOVERNORS PLACE BLVD, DAYTON, OH 45409-1328
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE STE 200, DAYTON, OH 45414-2855
(937) 280-8366
(937) 245-6330

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
COA.13128-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0092776
OH
Enumeration date
02/10/2012
Last updated
03/17/2018
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