Warren, Judith R

Warren, Judith R is an individual health care provider with primary practice located at 28550 Five Mile Road , Livonia MI 48154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Warren, Judith R can be contacted via phone (734) 427-8270.

Contact Information

Primary practice address
28550 Five Mile Road Livonia MI 48154
Phone: (734) 427-8270
Fax: (734) 427-2135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704081256 Michigan

Profile Details

NPI number 1639287790
LBN Legal business name Warren, Judith R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639287790 NPPES
Michigan Other JW081256 BLUE SHIELD

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