Provider Demographics
NPI:1942906235
Name:WARREN, DA-SHA YVONNE
Entity Type:Individual
Prefix:
First Name:DA-SHA
Middle Name:YVONNE
Last Name:WARREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-1431
Mailing Address - Country:US
Mailing Address - Phone:732-713-7978
Mailing Address - Fax:
Practice Address - Street 1:516 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-1431
Practice Address - Country:US
Practice Address - Phone:732-713-7978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula