Individual
THERESA N/A WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870
(215) 915-6000
Mailing address
131 PEABODY LN, MARLTON, NJ 08053-1964
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN723925
PA
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN723925
PA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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