Edge, Renee D

Edge, Renee D is an individual health care provider with primary practice located at 9177 Old Potosi Rd , Lancaster WI 53813-9437. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Edge, Renee D can be contacted via phone (608) 723-4300.

Contact Information

Primary practice address
9177 Old Potosi Rd Lancaster WI 53813-9437
Phone: (608) 723-4300
Fax: (608) 723-7885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6604 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6604-33 Wisconsin

Profile Details

NPI number 1811364508
LBN Legal business name Edge, Renee D
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2015
Last updated Sep 19th, 2018 - about 8 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 1811364508 NPPES
Wisconsin Other 6604 STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
Wisconsin Other 2015010721 STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

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