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NPI Code Detail

MEDICARE: CHERYL DALE WARREN

MEDICARE:   CHERYL DALE 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
1163W00000XRegistered NurseRN61309979WA

General Provider Information

NPI Number : 1912702556
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL DALE WARREN
Provider Business Mailing Address
First Line : 169 ERICA DR
Second Line :
City : RICHLAND
State : WA
Zip : 99352-8463
Country : US
Telephone Number : 503-839-2667
Fax Number :
Provider Business Practice Location Address
First Line : REYNOLDS MIDDLE SCHOOL
Second Line : 9507 BURNS RD
City : PASCO
State : WA
Zip : 99301
Country : US
Telephone Number : 503-839-2667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2025
Last Update Date : 02/18/2025

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Directions to “ CHERYL DALE WARREN ” Practice Location

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