Provider Demographics
NPI:1477005064
Name:HARPER, WARREN H SR (BACHELOR'S DEGREE)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:H
Last Name:HARPER
Suffix:SR
Gender:M
Credentials:BACHELOR'S DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1564 SPRINGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27801-3562
Mailing Address - Country:US
Mailing Address - Phone:252-937-1800
Mailing Address - Fax:252-557-4810
Practice Address - Street 1:1564 SPRINGBROOK DR
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801-3562
Practice Address - Country:US
Practice Address - Phone:252-937-1800
Practice Address - Fax:252-557-4810
Is Sole Proprietor?:No
Enumeration Date:2016-10-29
Last Update Date:2016-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-033-014374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide