Mccorcle, Renee S

Mccorcle, Renee S is an individual health care provider with primary practice located at 1221 W Lakeview Ave , Pensacola FL 32501-1857. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mccorcle, Renee S can be contacted via phone (850) 469-3500.

Contact Information

Primary practice address
1221 W Lakeview Ave Pensacola FL 32501-1857
Phone: (850) 469-3500
Fax: (850) 469-3424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP08505 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2005007532 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP3482226 Florida

Profile Details

NPI number 1851769715
LBN Legal business name Mccorcle, Renee S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Apr 30th, 2018 - about 6 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 1851769715 NPPES
Louisiana MEDICAID 2402081

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