Smith, Renee R
Smith, Renee R is an individual health care provider with primary practice located at 720 S Vanburen St Suite 101, Green Bay WI 54301-3504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Smith, Renee R can be contacted via phone (920) 433-3420.Contact Information
Primary practice address
720 S Vanburen St Suite 101
Green Bay WI 54301-3504
Phone: (920) 433-3420
Fax: (920) 338-6859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 148970-32 | Wisconsin |
Profile Details
| NPI number | 1174168710 |
|---|---|
| LBN Legal business name | Smith, Renee R |
| Credentials | CNM,APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2019 |
| Last updated | Nov 8th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174168710 | NPPES |
| Other | CNM05317 | AMERICAN MIDWIFERY CERTIFICATION |
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