Renstrom, Diedre Ann

Renstrom, Diedre Ann is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Renstrom, Diedre Ann can be contacted via phone (757) 668-7456.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Fax: (757) 668-9255
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 0024167924 Virginia

Profile Details

NPI number 1871738401
LBN Legal business name Renstrom, Diedre Ann
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - 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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