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General NPI Number Information
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NPI Number | 1740094036
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Entity Type | Individual
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Provider Name | AMBER MARIE RENNER ACNPC-AG APNP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1221 WHIPPLE ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-5200
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Country | US
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Telephone | 715-838-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 3576 29TH ST
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City | ELK MOUND
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State | WI
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Zip | 54739-4024
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Country | US
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Telephone | 715-514-9470
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 16421-33
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License Number State | WI
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