Individual
MICHELLE ANN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
396 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 830-7923
Mailing address
1055 N 500 W, ATTN: CREDENTILAING, PROVO, UT 84604-5122
(801) 354-8225
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
219837-3102
UT
363L00000X
Nurse Practitioner
219837-8900
UT
363LF0000X
Family Nurse Practitioner
Primary
219837-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
219837-8900
UT
Other
Enumeration date
01/21/2019
Last updated
06/24/2021
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