Individual
MICHELE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36636
CO
Other
Enumeration date
06/22/2009
Last updated
08/04/2016
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