Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 26NJ00504000 | NJ |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00504000 | NJ |
N | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00504000 | NJ |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NJ00504000 | NJ |
NPI | 1306250071 |
---|---|
Provider Name | Mr. Charles H Warwick V |
First Address | Morristown, NJ 07960-6967 |
Second Address | Morristown, NJ 07960-6967 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 20/06/2014 |