Provider Demographics
NPI:1164144671
Name:WARREN, KERI (RN,BSN)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:
Last Name:WARREN
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 RENEE LN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3421
Mailing Address - Country:US
Mailing Address - Phone:302-388-5142
Mailing Address - Fax:
Practice Address - Street 1:24 RENEE LN
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3421
Practice Address - Country:US
Practice Address - Phone:302-388-5142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELI-0032089163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse