Provider Demographics
NPI:1225918931
Name:WARREN, MAGDALENA EVA (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:MAGDALENA
Middle Name:EVA
Last Name:WARREN
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18620 FAIRLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-2807
Mailing Address - Country:US
Mailing Address - Phone:612-381-4211
Mailing Address - Fax:
Practice Address - Street 1:18620 FAIRLAWN AVE
Practice Address - Street 2:
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-2807
Practice Address - Country:US
Practice Address - Phone:612-381-4211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty