Reneau, Carolyn M

Reneau, Carolyn M is an individual health care provider with primary practice located at 1729 Lakeland Hills Blvd , Lakeland FL 33805-3016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Reneau, Carolyn M can be contacted via phone (863) 940-2908.

Contact Information

Primary practice address
1729 Lakeland Hills Blvd Lakeland FL 33805-3016
Phone: (863) 940-2908
Fax: (863) 940-4722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP1867632 Florida

Profile Details

NPI number 1245235787
LBN Legal business name Reneau, Carolyn M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Apr 22nd, 2013 - about 11 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 1245235787 NPPES
Florida MEDICAID 034266100

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