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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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