Healthcare Provider Details

I. General information

NPI: 1740008093
Provider Name (Legal Business Name): RENEE PINDER APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RENEE CASSELS FNP-C

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HIGHWAY 12
HETTINGER ND
58639-7530
US

IV. Provider business mailing address

101 9TH ST S APT 10
HETTINGER ND
58639-7430
US

V. Phone/Fax

Practice location:
  • Phone: 701-567-4561
  • Fax: 701-567-6361
Mailing address:
  • Phone: 701-567-6361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number33379
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR51647
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: