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NPI Code Detail

MEDICARE: RENETHA LINK REGISTERED NURSE

MEDICARE:   RENETHA  LINK  REGISTERED NURSE
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
1163W00000XRegistered Nurse144110NC

General Provider Information

NPI Number : 1376353235
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENETHA LINK REGISTERED NURSE
Provider Business Mailing Address
First Line : 4804 PAGE CREEK LN
Second Line :
City : DURHAM
State : NC
Zip : 27703-8582
Country : US
Telephone Number : 919-672-2312
Fax Number :
Provider Business Practice Location Address
First Line : 4804 PAGE CREEK LN
Second Line :
City : DURHAM
State : NC
Zip : 27703-8582
Country : US
Telephone Number : 919-672-2312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2025
Last Update Date : 01/11/2025

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Directions to “ RENETHA LINK REGISTERED NURSE” Practice Location

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