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Charise Elizabeth Warren

Nurse Practitioner in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1316636780
StatusActive
Last updated in NPPESAug 13, 2025

Details

NPI
1316636780
Entity type
Individual (NPI-1)
Name
Charise Elizabeth Warren
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2023
Certification date
Aug 13, 2025
Last updated
Aug 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner373935-4405UTYes
2255A2300X Specialist/Technologist, Athletic Trainer––
2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics––
2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation––
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

8th Ave C St
Salt Lake City, UT 84143-1437

Phone 801-408-3425

Mailing address

Po Box 27128
Salt Lake City, UT 84127-0128

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