Individual
MR. MAX EDWARD WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(888) 445-8745
Mailing address
1608 POPLAR LN, CAMANO ISLAND, WA 98282-7628
(262) 901-5036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61331489
WA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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