| Doctor Name: | MS. GLORIA J WARREN |
| NPI Number: | 1285607804 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 501 |
| Business Practice Address: | Pine Ridge Hospital East Highway 18 Pine Ridge, SD - 57770 |
| Business Phone Number: | 6058673095 |
| Business Fax Number: | |
| Mailing Address: | Pine Ridge Hospital, East Highway 18 PINE RIDGE |
| State: | SD |
| Postal Code: | 57770 |
| Phone Number: | 6058673095 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |