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
Phone: (304) 824-5806
Fax: (304) 824-5885
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376879189 | NPPES |
West Virginia | MEDICAID | 3810016640 |
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