Healthcare Provider Details

I. General information

NPI: 1417200106
Provider Name (Legal Business Name): TOMI CHRISTINE WARREN CNM, NP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2012
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 N SANDERS ST
RIDGECREST CA
93555-3640
US

IV. Provider business mailing address

308 N SANDERS ST
RIDGECREST CA
93555-3640
US

V. Phone/Fax

Practice location:
  • Phone: 410-271-1138
  • Fax:
Mailing address:
  • Phone: 410-271-1138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number730827
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number588291
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number22154
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number2005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: