Desoucy, Renee Doreane

Desoucy, Renee Doreane is an individual health care provider with primary practice located at 1601 Ygnacio Valley Rd , Walnut Creek CA 94598-3122. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Desoucy, Renee Doreane can be contacted via phone (925) 212-7052.

Contact Information

Primary practice address
1601 Ygnacio Valley Rd Walnut Creek CA 94598-3122
Phone: (925) 212-7052
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN001577 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CA 22482 California

Profile Details

NPI number 1558794909
LBN Legal business name Desoucy, Renee Doreane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2013
Last updated Nov 10th, 2015 - about 11 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 1558794909 NPPES
Nevada Other APRN001577 APRN LICENSE
Nevada Other CA 22482 APRN LICENSE

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