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Kelly Brooke Warren

Nurse Practitioner in Metairie, LA. Individual provider (NPI-1).

NPI number1982188470
StatusActive
Last updated in NPPESMay 11, 2022

Details

NPI
1982188470
Entity type
Individual (NPI-1)
Name
Kelly Brooke Warren
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 20, 2018
Certification date
May 11, 2022
Last updated
May 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner200383LAYes
261QU0200X Clinic/Center, Urgent Care––

Practice location

2215 Veterans Blvd
Metairie, LA 70002

Phone 504-838-3524

Mailing address

804 Foucher St
New Orleans, LA 70115-2518

Phone 561-346-9701

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