Christian, Rebel Renea

Christian, Rebel Renea is an individual health care provider with primary practice located at 7400 Lynn Ave , Hamlin WV 25523-1138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Christian, Rebel Renea can be contacted via phone (304) 824-5806.

Contact Information

Primary practice address
7400 Lynn Ave Hamlin WV 25523-1138
Fax: (304) 824-5885
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 62507-RN 2009007356 West Virginia

Profile Details

NPI number 1376879189
LBN Legal business name Christian, Rebel Renea
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2009
Last updated Apr 15th, 2013 - about 11 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 1376879189 NPPES
West Virginia MEDICAID 3810016640

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