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NPI Code Detail

MEDICARE: RENEE L MANRING NP

MEDICARE: RENEE L MANRING NP
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
1363LA2100XAcute Care Nurse Practitioner209009422IL
2363LA2100XAcute Care Nurse PractitionerCNP00477NM

General Provider Information

NPI Number : 1578578043
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE L MANRING NP
Provider Business Mailing Address
First Line : 4 ZIA TRL
Second Line :
City : CORRALES
State : NM
Zip : 87048-9694
Country : US
Telephone Number : 208-284-6097
Fax Number :
Provider Business Practice Location Address
First Line : 3001 BROADMOOR BLVD NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87144-2100
Country : US
Telephone Number : 505-272-6020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 03/03/2025

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