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
Phone: (541) 882-7291
Fax: (541) 883-4213
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487860383 | NPPES |
| Oregon | MEDICAID | 100315 |
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