Individual
KELLI ANN WARRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3779 TRUEMAN CT, HILLIARD, OH 43026-2496
(740) 564-9901
Mailing address
2581 LONG BOW AVE, LANCASTER, OH 43130-7893
(740) 564-9901
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN.CNS.0019487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0035014
STATE LICENSE
OH
Enumeration date
08/18/2023
Last updated
12/12/2024
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