Vadeboncoeur, Renee A

Vadeboncoeur, Renee A is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vadeboncoeur, Renee A can be contacted via phone (801) 581-2121.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-0001
Fax:
Website:

Profile Details

NPI number 1659320240
LBN Legal business name Vadeboncoeur, Renee A
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 20th, 2021 - about 3 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 1659320240 NPPES
Idaho MEDICAID 806407400
Idaho MEDICAID 29303796
Idaho MEDICAID 100503073
Idaho MEDICAID NP655UT
Idaho MEDICAID D4591
Idaho Other 9461

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