Individual
KELLY BROOKE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 VETERANS BLVD, METAIRIE, LA 70002
(504) 838-3524
Mailing address
804 FOUCHER ST, NEW ORLEANS, LA 70115-2518
(561) 346-9701
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
200383
LA
Other
Enumeration date
09/20/2018
Last updated
05/11/2022
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