Goedhart, Renae Sue
Goedhart, Renae Sue is an sole proprietor health care provider with primary practice located at 3370 S Highway 160 Ste 9 , Pahrump NV 89048-5373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goedhart, Renae Sue can be contacted via phone (775) 513-5038.Contact Information
Primary practice address
3370 S Highway 160 Ste 9
Pahrump NV 89048-5373
Phone: (775) 513-5038
Fax: (775) 376-9966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN000597 | Nevada |
Profile Details
| NPI number | 1275585382 |
|---|---|
| LBN Legal business name | Goedhart, Renae Sue |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Dec 14th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275585382 | NPPES |
| Nevada | MEDICAID | 1275585382 |
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