Little, Renee M
Little, Renee M is an individual health care provider with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Little, Renee M can be contacted via phone (480) 456-9500.Contact Information
Primary practice address
1400 S Dobson Rd
Mesa AZ 85202
Phone: (480) 456-9500
Fax: (480) 820-7623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2500 |
Profile Details
| NPI number | 1205806122 |
|---|---|
| LBN Legal business name | Little, Renee M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1205806122 | NPPES |
| Arizona | MEDICAID | 577984 |
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