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Gwendolyn Warren
Nurse Practitioner in Ellisville, Missouri
NPI 1861591950

Gwendolyn Warren is a Nurse Practitioner based in Saint Louis, MO. Gwendolyn Warren practices in Ellisville, MO. The NPI Number for Gwendolyn Warren is 1861591950 and holds a License No. 103915 (Missouri).

The current practice location address for Gwendolyn Warren is 16105 Manchester Rd, Ellisville, MO and can be reached out via phone at 866-825-3227 and via fax at 484-351-3800.

Location: 16105 Manchester Rd, Ellisville, MO, 63195-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861591950
Provider Name
Gwendolyn Warren
Credential
Provider Entity Type
Individual
Gender
Female
Address
16105 Manchester Rd, Ellisville, MO, 63195-0001
Phone Number
866-825-3227
Fax Number
484-351-3800
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
16105 Manchester Rd
City
Ellisville
State
Missouri
Zip
63011-2001
Phone Number
866-825-3227
Fax Number
484-351-3800
person
Provider Business Mailing Address Details
Address
16105 Manchester Rd
City
Ellisville
State
Missouri
Zip
63011-2001
Phone Number
866-825-3227
Fax Number
484-351-3800
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
103915 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
103915 (Missouri)
Definition
Definition to come...
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