Renz, Mary-Jo

Renz, Mary-Jo is an individual health care provider with primary practice located at 1560 N 115Th St Ste 201 , Seattle WA 98133-8414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Renz, Mary-Jo can be contacted via phone (206) 368-1244.

Contact Information

Primary practice address
1560 N 115Th St Ste 201 Seattle WA 98133-8414
Phone: (206) 368-1244
Fax: (206) 368-1270
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP30002251 Washington

Profile Details

NPI number 1457356222
LBN Legal business name Renz, Mary-Jo
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 8th, 2008 - about 18 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 1457356222 NPPES
Washington Other P00135135 RAILROAD MEDICARE
Washington MEDICAID 9629858 RAILROAD MEDICARE

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