Provider Demographics
NPI:1477831105
Name:WARREN, CATHIE L (NP)
Entity Type:Individual
Prefix:
First Name:CATHIE
Middle Name:L
Last Name:WARREN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1421 S POTOMAC ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4535
Mailing Address - Country:US
Mailing Address - Phone:303-695-4800
Mailing Address - Fax:303-695-4821
Practice Address - Street 1:1421 S POTOMAC ST
Practice Address - Street 2:SUITE 130
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4535
Practice Address - Country:US
Practice Address - Phone:303-695-4800
Practice Address - Fax:303-695-4821
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1755363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner