Individual
CHARLYNE B WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3551 N BROAD ST, PHILADELPHIA, PA 19140-4160
(215) 430-3065
Mailing address
3551 N BROAD ST, PHILADELPHIA, PA 19140-4160
(215) 430-3065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP010787
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN261199L
PA
Other
Enumeration date
04/26/2007
Last updated
10/27/2016
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