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NPI Code Detail

MEDICARE: MARILYN R WARREN RN, CNS, RXS

MEDICARE: MARILYN R WARREN RN, CNS, RXS
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
1364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistRN29972MT
2364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistRN29972MT
3364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistCNS-3854CO

General Provider Information

NPI Number : 1477569473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN R WARREN RN, CNS, RXS
Provider Business Mailing Address
First Line : 28374 COUNTY ROAD 317
Second Line :
City : BUENA VISTA
State : CO
Zip : 81211-9158
Country : US
Telephone Number : 719-539-6502
Fax Number : 719-539-3988
Provider Business Practice Location Address
First Line : 28374 COUNTY ROAD 317
Second Line :
City : BUENA VISTA
State : CO
Zip : 81211-9158
Country : US
Telephone Number : 719-538-6502
Fax Number : 719-539-3988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 01/03/2020

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