Provider Demographics
NPI:1699240382
Name:WARREN, ALANE RANEL (RCSN)
Entity type:Individual
Prefix:
First Name:ALANE
Middle Name:RANEL
Last Name:WARREN
Suffix:
Gender:F
Credentials:RCSN
Other - Prefix:
Other - First Name:ALANE
Other - Middle Name:RANEL
Other - Last Name:BERLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2302 N PEPPERTREE ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-9129
Mailing Address - Country:US
Mailing Address - Phone:559-972-3674
Mailing Address - Fax:559-972-3674
Practice Address - Street 1:3102 E HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-4039
Practice Address - Country:US
Practice Address - Phone:559-733-1992
Practice Address - Fax:559-733-2651
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA549030163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool