Shaide, Renee Marie

Shaide, Renee Marie is an individual health care provider with primary practice located at 4301 W Markham St # 508 , Little Rock AR 72205-7101. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Medical-Surgical. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shaide, Renee Marie can be contacted via phone (016) 868-5305.

Contact Information

Primary practice address
4301 W Markham St # 508 Little Rock AR 72205-7101
Phone: (016) 868-5305
Fax: (501) 686-8543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A005644 Arkansas
Nursing Service Providers / Medical-Surgical 163WM0705X R089200 Arkansas

Profile Details

NPI number 1598230195
LBN Legal business name Shaide, Renee Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2018
Last updated Jun 22nd, 2022 - about 2 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 1598230195 NPPES
Arkansas Other A005644 CERTIFIED NURSE PRACTITIONER
Arkansas Other R089200 CERTIFIED NURSE PRACTITIONER

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