Individual
MICHAEL TODD WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
427 N PINE ST, DERIDDER, LA 70634-3905
(337) 348-1558
Mailing address
512 MEADOW LN, DERIDDER, LA 70634-5312
(337) 348-1558
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08799
LA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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