MEDICARE: RAQUAL WARREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	551710	OH

General Provider Information

NPI Number	:	1548128150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUAL WARREN

Provider Business Mailing Address
First Line	:	2522 PARKVIEW AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-4120
Country	:	US
Telephone Number	:	419-315-6339
Fax Number	:

Provider Business Practice Location Address
First Line	:	2522 PARKVIEW AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-4120
Country	:	US
Telephone Number	:	419-315-6339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ RAQUAL WARREN ” Practice Location

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