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NPI Code Detail

MEDICARE: CAROL ANNE RENOUF ARNP

MEDICARE:   CAROL ANNE RENOUF  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner016873-23-03NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750405742
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL ANNE RENOUF ARNP
Provider Business Mailing Address
First Line : 286 CENTRAL ST
Second Line :
City : EAST HAMPSTEAD
State : NH
Zip : 03826-2440
Country : US
Telephone Number : 603-382-9394
Fax Number :
Provider Business Practice Location Address
First Line : 63 RANGE RD
Second Line :
City : WINDHAM
State : NH
Zip : 03087-2098
Country : US
Telephone Number : 603-893-4119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2007
Last Update Date : 07/09/2007

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Directions to “ CAROL ANNE RENOUF ARNP” Practice Location

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