Renz, Deanna

Renz, Deanna is an individual health care provider with primary practice located at 3405 Dallas Hwy Sw Ste 300 , Marietta GA 30064-6426. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Renz, Deanna can be contacted via phone (770) 425-5331.

Contact Information

Primary practice address
3405 Dallas Hwy Sw Ste 300 Marietta GA 30064-6426
Phone: (770) 425-5331
Fax: (770) 425-0799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN104510 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN104510 NP Georgia

Profile Details

NPI number 1982820551
LBN Legal business name Renz, Deanna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Mar 3rd, 2014 - about 12 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 1982820551 NPPES
Georgia MEDICAID 647974880E
Georgia MEDICAID 647974880B

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