Hanevold, Renee L

Hanevold, Renee L is an sole proprietor health care provider with primary practice located at 224 Needle Ct , Roseville CA 95678-6953. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Hanevold, Renee L can be contacted via phone (916) 512-5522.

Contact Information

Primary practice address
224 Needle Ct Roseville CA 95678-6953
Phone: (916) 512-5522
Fax: (916) 872-4790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NMW 1927 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NMW 1927 California

Profile Details

NPI number 1750451134
LBN Legal business name Hanevold, Renee L
Credentials APN, CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Jun 28th, 2012 - about 13 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 1750451134 NPPES
Nevada MEDICAID 1750451134
Nevada Other CAQH

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