Allen, Renetta Walters

Allen, Renetta Walters is an individual health care provider with primary practice located at 11312 Jefferson Hwy , River Ridge LA 70123-1709. 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, Renetta Walters can be contacted via phone (504) 463-3002.

Contact Information

Primary practice address
11312 Jefferson Hwy River Ridge LA 70123-1709
Phone: (504) 463-3002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APO4824 Louisiana

Profile Details

NPI number 1366427460
LBN Legal business name Allen, Renetta Walters
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Dec 4th, 2018 - about 6 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 1366427460 NPPES
Louisiana MEDICAID 1453129

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