Renner, Mandie Leigh

Renner, Mandie Leigh is an individual health care provider with primary practice located at 1120 S Utica Ave Ste 2123 , Tulsa OK 74104. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Renner, Mandie Leigh can be contacted via phone (918) 579-5402.

Contact Information

Primary practice address
1120 S Utica Ave Ste 2123 Tulsa OK 74104
Phone: (918) 579-5402
Fax: (918) 579-5404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 364SN0000X 81378 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 80137 Oklahoma

Profile Details

NPI number 1760630131
LBN Legal business name Renner, Mandie Leigh
Credentials CCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Mar 6th, 2019 - about 5 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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