Mammoo, Rena

Mammoo, Rena is an individual health care provider with primary practice located at 16801 Chillicothe Rd , Chagrin Falls OH 44023-4618. 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. Mammoo, Rena can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
16801 Chillicothe Rd Chagrin Falls OH 44023-4618
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209013051 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0030086 Ohio

Profile Details

NPI number 1619352168
LBN Legal business name Mammoo, Rena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2015
Last updated Nov 8th, 2023 - 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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