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NPI Code Detail

MEDICARE: JANET ANNE WARREN NP

MEDICARE:   JANET ANNE WARREN  NP
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
1363LF0000XFamily Nurse PractitionerA22425CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122425OTHERCANP LICENSE

General Provider Information

NPI Number : 1467792051
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET ANNE WARREN NP
Provider Business Mailing Address
First Line : 19341 BEAR VALLEY RD STE 105
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92308-5152
Country : US
Telephone Number : 760-241-6666
Fax Number : 609-475-6197
Provider Business Practice Location Address
First Line : 19341 BEAR VALLEY RD STE 105
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92308-5152
Country : US
Telephone Number : 760-241-6666
Fax Number : 609-475-6197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2013
Last Update Date : 01/28/2026

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