Individual provider · Type 1 NPI

Charise Elizabeth Warren

Nurse Practitioner · Salt Lake City, UT

NPI number 1316636780 Active

Practice location

8th Ave C St
Salt Lake City, UT 84143-1437

Call (801) 408-3425 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

Taxonomy	Code	License
Athletic Trainer	2255A2300X	None listed
Pulmonary Diagnostics Registered Respiratory Therapist	2279P1004X	None listed
Pulmonary Rehabilitation Registered Respiratory Therapist	2279P1005X	None listed
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Nurse Practitioner Primary	363L00000X	373935-4405 (UT)

Nurse Practitioner: (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 wit…

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About NPI 1316636780

Charise Elizabeth Warren's National Provider Identifier is 1316636780, issued on May 2, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 13, 2025.