Renick, Beverly Gayle

Renick, Beverly Gayle is an individual health care provider with primary practice located at 450 Stanyan 2Nd Floor Usf Student Medical Clinic St Marys Medical C, San Francisco CA 94117-1079. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Renick, Beverly Gayle can be contacted via phone (415) 750-4980.

Contact Information

Primary practice address
450 Stanyan 2Nd Floor Usf Student Medical Clinic St Marys Medical C San Francisco CA 94117-1079
Phone: (415) 750-4980
Fax: (415) 750-8155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13272 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 272543 California

Profile Details

NPI number 1245218932
LBN Legal business name Renick, Beverly Gayle
Credentials FNP PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Sep 23rd, 2013 - 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 1245218932 NPPES
California Other 0PA132720 PPIN

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