Warren, Gwendolyn

Warren, Gwendolyn is an individual health care provider with primary practice located at 16105 Manchester Rd , Ellisville MO 63011-2001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Warren, Gwendolyn can be contacted via phone (866) 825-3227.

Contact Information

Primary practice address
16105 Manchester Rd Ellisville MO 63011-2001
Phone: (866) 825-3227
Fax: (484) 351-3800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 103915 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 103915 Missouri

Profile Details

NPI number 1861591950
LBN Legal business name Warren, Gwendolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 27th, 2020 - about 6 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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