MEDICARE: CHASE WARREN-OJAMERUAYE R.N.

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	163WS0200X	School Registered Nurse	RN167237	AZ

General Provider Information

NPI Number	:	1770990871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHASE WARREN-OJAMERUAYE R.N.

Provider Business Mailing Address
First Line	:	1224 E ANGELA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-2081
Country	:	US
Telephone Number	:	480-203-5609
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 E ANGELA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-2081
Country	:	US
Telephone Number	:	480-203-5609
Fax Number	:

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

Provider Enumeration Date	:	07/21/2014
Last Update Date	:	07/21/2014

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