Individual
PAULA PROVINCE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
25817
MS
2084N0400X
Neurology Physician
Primary
25817
MS
2084N0400X
Neurology Physician
MD.30689
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00882767
—
MS
Enumeration date
06/12/2009
Last updated
06/08/2022
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