MEDICARE: RENASOLVE,INC.

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	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1740090208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENASOLVE,INC.

Provider Business Mailing Address
First Line	:	PO BOX 22289
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82003-2200
Country	:	US
Telephone Number	:	307-650-2800
Fax Number	:	800-385-9040

Provider Business Practice Location Address
First Line	:	1760 PRAIRIE AVE STE 100
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82009-4833
Country	:	US
Telephone Number	:	307-650-2800
Fax Number	:	800-385-9040

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	ZORNITZA DIMOPOULOS
Credential	:
Telephone Number	:	503-998-4125

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	02/05/2026

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Directions to “RENASOLVE,INC. ” Practice Location

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