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NPI Code Detail

MEDICARE: STEVEN WARREN PMHNP

MEDICARE: STEVEN WARREN PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner28212365AIN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner407875NY
3363LP0808XPsychiatric/Mental Health Nurse Practitioner8165MN

General Provider Information

NPI Number : 1831626894
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN WARREN PMHNP
Provider Business Mailing Address
First Line : 8500 NORMANDALE LAKE BLVD STE 350
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-3805
Country : US
Telephone Number : 833-351-8255
Fax Number :
Provider Business Practice Location Address
First Line : 8500 NORMANDALE LAKE BLVD STE 350
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-3805
Country : US
Telephone Number : 833-351-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2017
Last Update Date : 12/08/2025

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