Rennick, Teresa Ann

Rennick, Teresa Ann is an individual health care provider with primary practice located at 3314 Vandenberg Rd , Klamath Falls OR 97603-3730. 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. Rennick, Teresa Ann can be contacted via phone (541) 882-7291.

Contact Information

Primary practice address
3314 Vandenberg Rd Klamath Falls OR 97603-3730
Fax: (541) 883-4213
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X OOO32868 Oklahoma

Profile Details

NPI number 1487860383
LBN Legal business name Rennick, Teresa Ann
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 9th, 2007 - about 17 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 1487860383 NPPES
Oregon MEDICAID 100315

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