Individual provider · Type 1 NPI

De'andre Antonino Warren, MD

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1962039412 Active

Practice location

1215 Lee Street Box 800713
Charlottesville, VA 22908-0816

Call (434) 924-5700 Map

Fax (434) 924-1736

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X0116040411 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962039412

De'andre Antonino Warren, MD's National Provider Identifier is 1962039412, issued on Mar 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on Jun 11, 2025.