Individual provider · Type 1 NPI

Gwendolyn Warren

Nurse Practitioner · Ellisville, MO

NPI number 1861591950 Active

Practice location

16105 Manchester Rd
Ellisville, MO 63011-2001

Call (866) 825-3227 Map

Fax (484) 351-3800

Mailing address

PO Box 955534
St. Louis, MO 63195-0001

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X103915 (MO)
Nurse Practitioner Primary 363L00000X103915 (MO)

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 1861591950

Gwendolyn Warren's National Provider Identifier is 1861591950, issued on Sep 22, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ellisville, MO. The record was last updated on Oct 27, 2020.