Provider Demographics
NPI:1487285698
Name:WARREN, CAPRICE (MSN, BSN, RN)
Entity type:Individual
Prefix:
First Name:CAPRICE
Middle Name:
Last Name:WARREN
Suffix:
Gender:F
Credentials:MSN, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5011 ARBUTUS AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5723
Mailing Address - Country:US
Mailing Address - Phone:410-624-6130
Mailing Address - Fax:
Practice Address - Street 1:5011 ARBUTUS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5723
Practice Address - Country:US
Practice Address - Phone:410-624-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR202520163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health