Provider Demographics
NPI:1396915773
Name:WARREN, ROSA JEAN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:JEAN
Last Name:WARREN
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Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:1070 WEBER BLDG HWY 62 W
Mailing Address - Street 2:HARRISON CO MATERNAL AND CHILD HEALTH
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-1924
Mailing Address - Country:US
Mailing Address - Phone:512-738-1600
Mailing Address - Fax:812-738-6473
Practice Address - Street 1:1070 WEBER BLDG HWY 62 W
Practice Address - Street 2:HARRISON CO MATERNAL AND CHILD HEALTH
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-1924
Practice Address - Country:US
Practice Address - Phone:512-738-1600
Practice Address - Fax:812-738-6473
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
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Provider Licenses
StateLicense IDTaxonomies
IN28097448A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner