MEDICARE: MRS. RENEE MESSINA ESSARY C.R.N.P.

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
1	363LF0000X	Family Nurse Practitioner	0024168282	VA
2	363LF0000X	Family Nurse Practitioner	SP005616B	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1467481440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RENEE MESSINA ESSARY C.R.N.P.

Provider Business Mailing Address
First Line	:	436 CLAIRMONT CT
Second Line	:	SUITE 105
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-1765
Country	:	US
Telephone Number	:	804-504-4671
Fax Number	:	804-765-6490

Provider Business Practice Location Address
First Line	:	20901 CHESTERFIELD AVE
Second Line	:
City	:	SOUTH CHESTERFIELD
State	:	VA
Zip	:	23803-1903
Country	:	US
Telephone Number	:	804-526-3500
Fax Number	:	804-526-4222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	08/17/2016

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