Individual
KRISTI MARIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
210 E GRAY ST, SUITE 701, LOUISVILLE, KY 40202-3900
(502) 629-5225
(502) 629-5240
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024169557
VA
363LF0000X
Family Nurse Practitioner
Primary
3007851
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000830441
ANTHEM - NNS
KY
01
—
150339
SIHO - NNS
KY
05
—
201203020
—
IN
01
—
50052820
PASSPORT - NNS
KY
05
—
7100254280
—
KY
Enumeration date
08/29/2011
Last updated
05/25/2022
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