Individual
MRS. TONYA RENEE' WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
200 MEDICAL PLZ, SUITE 101, LAKE SAINT LOUIS, MO 63367-1379
(636) 561-4100
(636) 561-8445
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(636) 561-4100
(636) 561-8445
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2013015964
MO
Other
Enumeration date
07/15/2013
Last updated
05/21/2015
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