Renee Delise Pettis in - Physician Assistant
Renee Delise Pettis - NPI 1568504827
Renee Delise Pettis is a Physician Assistant in , . Renee Delise Pettis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Renee Delise Pettis is 1568504827. The last update date is 2021-04-14.
Renee Delise Pettis's current location address is , , . You can contact this provider via phone number . The mailing address for Renee Delise Pettis is , , . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee Delise Pettis |
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| Address | , , |
| Phone Number | |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568504827 |
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| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2021-04-14 |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
| Post Code | |
| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
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| Taxonomy | 363A00000X |
| Licence No | PA07388 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Renee Delise Pettis by the Centers for Medicare & Medicaid Services?
The Renee Delise Pettis has been issued the NPI (National Provider Identifier) 1568504827, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Renee Delise Pettis's area of specialization and corresponding taxonomy classification?
The Renee Delise Pettis's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
What is Renee Delise Pettis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Renee Delise Pettis is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Renee Delise Pettis receive its 1568504827?
The Renee Delise Pettis was issued its 1568504827 on 2007-02-13, which is the date when the organization was assigned this unique identifier.
On what date did the Renee Delise Pettis receive its 1568504827 assignment from the Centers for Medicare & Medicaid Services?
The Renee Delise Pettis was assigned its 1568504827 by the Centers for Medicare & Medicaid Services on 2007-02-13.