Clark, Renna
Clark, Renna is an individual health care provider with primary practice located at 3775 Fettler Park Dr Unit A5 , Dumfries VA 22025-1946. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Clark, Renna can be contacted via phone (703) 441-3555.Contact Information
Primary practice address
3775 Fettler Park Dr Unit A5
Dumfries VA 22025-1946
Phone: (703) 441-3555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 0024184881 | Virginia |
Profile Details
| NPI number | 1992428361 |
|---|---|
| LBN Legal business name | Clark, Renna |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2022 |
| Last updated | Jan 17th, 2024 - 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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