Fondren, Renee Cecile

Fondren, Renee Cecile is an individual health care provider with primary practice located at 4759 Us Highway 19 , New Port Richey FL 34652-4945. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fondren, Renee Cecile can be contacted via phone (727) 841-8772.

Contact Information

Primary practice address
4759 Us Highway 19 New Port Richey FL 34652-4945
Phone: (727) 841-8772
Fax: (727) 848-5897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN1268292 Florida

Profile Details

NPI number 1841289626
LBN Legal business name Fondren, Renee Cecile
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jun 4th, 2024 - about 5 months 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 1841289626 NPPES
Florida MEDICAID 306711400
Florida Other Y065N

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