Allen, Renai

Allen, Renai is an individual health care provider with primary practice located at 4398 Atlanta Hwy , Loganville GA 30052-7314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Renai can be contacted via phone (617) 699-5013.

Contact Information

Primary practice address
4398 Atlanta Hwy Loganville GA 30052-7314
Phone: (617) 699-5013
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN222518 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 260064 Massachusetts

Profile Details

NPI number 1790872158
LBN Legal business name Allen, Renai
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Mar 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790872158 NPPES
Massachusetts Other 260064 MASS BORM LICENSE
Massachusetts Other APRN11006495 MASS BORM LICENSE
Massachusetts Other 063977-23 MASS BORM LICENSE
Massachusetts Other 222518 MASS BORM LICENSE

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