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NPI Code Detail

MEDICARE: RENEE NICHOLE PERONA

MEDICARE: RENEE NICHOLE PERONA
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
1235Z00000XSpeech-Language PathologistSP-1998 PROVISIONALNV

General Provider Information

NPI Number : 1881140085
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE NICHOLE PERONA
Provider Business Mailing Address
First Line : 1350 GRAND SUMMIT DRIVE
Second Line : APT 45
City : RENO
State : NV
Zip : 89523
Country : US
Telephone Number : 916-801-2880
Fax Number :
Provider Business Practice Location Address
First Line : 1350 GRAND SUMMIT DR
Second Line : APT 45
City : RENO
State : NV
Zip : 89523-2586
Country : US
Telephone Number : 916-801-2880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2016
Last Update Date : 08/28/2016

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Directions to “ RENEE NICHOLE PERONA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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