Fernette, Rene A

Fernette, Rene A is an individual health care provider with primary practice located at 295 Phalen Blvd , Saint Paul MN 55130-2400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fernette, Rene A can be contacted via phone (651) 495-6600.

Contact Information

Primary practice address
295 Phalen Blvd Saint Paul MN 55130-2400
Fax: (952) 883-9677
Website:

Profile Details

NPI number 1932189636
LBN Legal business name Fernette, Rene A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 26th, 2022 - about 2 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 1932189636 NPPES
Wisconsin MEDICAID 1932189636
Wisconsin MEDICAID 200116670A

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