Rosa Jean Warren, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28097448A Issued in IN

Practice address

1070 Weber BLDG Hwy 62 W
Harrison Co Maternal and Child Health
Corydon, IN 47112-1924

Phone

(512) 738-1600

Fax

(812) 738-6473

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1396915773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 WEBER BLDG HWY 62 W",
            "address_2": "HARRISON CO MATERNAL AND CHILD HEALTH",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471121924",
            "telephone_number": "512-738-1600",
            "fax_number": "812-738-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 WEBER BLDG HWY 62 W",
            "address_2": "HARRISON CO MATERNAL AND CHILD HEALTH",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471121924",
            "telephone_number": "512-738-1600",
            "fax_number": "812-738-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ROSA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28097448A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Corydon, IN
• Providers in Corydon, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.