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NPI Code Detail

MEDICARE: DARLENE RENNER ARNP

MEDICARE:   DARLENE  RENNER  ARNP
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
1363LF0000XFamily Nurse Practitioner739082FL

General Provider Information

NPI Number : 1861462988
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE RENNER ARNP
Provider Business Mailing Address
First Line : 1700 S TAMIAMI TRAIL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3555
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3555
Country : US
Telephone Number : 941-917-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 07/14/2007

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