Husted, Renee Teresa

Husted, Renee Teresa is an individual health care provider with primary practice located at 130 Center Way , Corning NY 14830-2255. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Husted, Renee Teresa can be contacted via phone (607) 936-9971.

Contact Information

Primary practice address
130 Center Way Corning NY 14830-2255
Phone: (607) 936-9971
Fax: (607) 936-2600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F334363-1 New York

Profile Details

NPI number 1093774069
LBN Legal business name Husted, Renee Teresa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 29th, 2011 - about 14 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 1093774069 NPPES
Pennsylvania Other CC9269 RR MEDICARE GROUP
Pennsylvania Other P00337166 RR MEDICARE GROUP
Pennsylvania Other P00173974 RR MEDICARE GROUP
Pennsylvania MEDICAID 02620271 RR MEDICARE GROUP
Pennsylvania Other CC8362 RR MEDICARE GROUP

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