| NPI | 1417517715 |
|---|---|
| Former Name | CORRI A RENNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112821) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA C175657) |
| 363L00000X Nurse Practitioner (Licence: KS 82817) | |
| 363L00000X Nurse Practitioner (Licence: ND R55490) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-05-14 |