Doctor Name: | MR. CHARLES E WARRINGTON |
NPI Number: | 1003161860 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | SP011375 |
Business Practice Address: | 1100 Walnut St Fl 7 Medical Office Building Philadelphia, PA - 191074944 |
Business Phone Number: | 2159552165 |
Business Fax Number: | 2159237957 |
Mailing Address: | 111 S 11th St, Gibbon Bldg. Hospital Admin. Suite 2210 PHILADELPHIA |
State: | PA |
Postal Code: | 191074824 |
Phone Number: | 2159551349 |
Fax Number: | 2159551935 |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | SP011375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |