Privett, Renee Jeanine

Privett, Renee Jeanine is an individual health care provider with primary practice located at 2121 W Chandler Blvd Ste 110, Chandler AZ 85224-6545. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Privett, Renee Jeanine can be contacted via phone (480) 963-2233.

Contact Information

Primary practice address
2121 W Chandler Blvd Ste 110 Chandler AZ 85224-6545
Phone: (480) 963-2233
Fax: (480) 963-2277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2700 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2700 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2700 Arizona

Profile Details

NPI number 1841438959
LBN Legal business name Privett, Renee Jeanine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2009
Last updated Nov 24th, 2015 - about 9 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 1841438959 NPPES
Arizona MEDICAID 501958
Arizona Other 3Z3974

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