Individual
MARLO WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
911 SWAN LN, RUTHER GLEN, VA 22546-1210
(540) 841-8857
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-4120
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001245292
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024186973
VA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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