Rennie, Danielle N

Rennie, Danielle N is an individual health care provider with primary practice located at 1188 South State Route 157 Suite 100, Edwardsville IL 62025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rennie, Danielle N can be contacted via phone (618) 692-5900.

Contact Information

Primary practice address
1188 South State Route 157 Suite 100 Edwardsville IL 62025
Phone: (618) 692-5900
Fax: (618) 692-5901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2090165856 Illinois

Profile Details

NPI number 1922515279
LBN Legal business name Rennie, Danielle N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2018
Last updated May 7th, 2024 - about 2 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 1922515279 NPPES
Illinois Other 2090165856 ILLINOIS LICENSE

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