Renshaw, Linda Diane

Renshaw, Linda Diane is an individual health care provider with primary practice located at 3050 1St Ave S , St Petersburg FL 33712-1010. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Renshaw, Linda Diane can be contacted via phone (727) 321-4846.

Contact Information

Primary practice address
3050 1St Ave S St Petersburg FL 33712-1010
Phone: (727) 321-4846
Fax: (727) 321-3811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1570652 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1570652 Florida

Profile Details

NPI number 1164582615
LBN Legal business name Renshaw, Linda Diane
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated May 23rd, 2017 - about 7 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 1164582615 NPPES
Florida MEDICAID 004121000

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