Melisa Kaye Renner in Fort Wayne - Family
Melisa Kaye Renner - NPI 1043494503
Melisa Kaye Renner is a Family in Fort Wayne, Indiana. Melisa Kaye Renner practices all healthcare services and medical treatments related to Family. The NPI Number for Melisa Kaye Renner is 1043494503. The last update date is 2021-04-01.
Melisa Kaye Renner's current location address is 6326 Constitution Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2605153275 and fax number 8888036843. The mailing address for Melisa Kaye Renner is 6326 Constitution Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melisa Kaye Renner |
|---|---|
| Address | 6326 Constitution Dr, Fort Wayne, Indiana |
| Phone Number | 2605153275 |
| Fax Number | 8888036843 |
| Sole Proprietor | Y |
| Credentials | APRN, MSN, |
NPI Number Detail
| NPI Number | 1043494503 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2021-04-01 |
Provider Mailing Address Detail
| Address | 6326 Constitution Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468041518 |
| Phone Number | 2605153275 |
| Fax Number | 8888036843 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 71010644A |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300047110 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Melisa Kaye Renner by the Centers for Medicare & Medicaid Services?
The Melisa Kaye Renner has been issued the NPI (National Provider Identifier) 1043494503 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Melisa Kaye Renner's facilities are situated?
The facilities of Melisa Kaye Renner are physically located at the following address: 6326 Constitution Dr, Fort Wayne, IN, 468041518.
What is Melisa Kaye Renner's area of expertise and its corresponding taxonomy classification?
The Melisa Kaye Renner's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
When was the Melisa Kaye Renner's 1043494503 issued?
The Melisa Kaye Renner's 1043494503 was issued on 2007-12-19.
When was the Melisa Kaye Renner's information last updated?
The Melisa Kaye Renner's information was last updated on 2021-04-01.