ELIZABETH R RENKER (NPI# 1790337137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790337137 |
Entity Type | Individual |
Full Name | ELIZABETH R RENKER |
Credential | APRN |
Practice Address |
97 Barnes Rd Ste 6 Wallingford CT 06492-1885 |
Practice Telephone | 2032659890 |
Practice Fax Number | 2032653321 |
Mailing Telephone | 2032659890 |
Mailing Fax Number | 2032653321 |
Enumeration Date | 2019-07-16 |
Last Update Date | 2019-07-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
8222 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
97 BARNES RD STE 6 |
City | WALLINGFORD |
State | CT |
Zip Code | 06492-1885 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
Find all providers in zip 06492 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730275348 | Valerie Holcomb | Nurse Practitioner | 1062 Barnes Road, Suite 102, Wallingford, CT 06492 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
1679908925 | Christine M Turcotte | Nurse Practitioner | 21b Liberty Dr, Hebron, CT 06248 | 2013-09-05 |
Find all providers with the same taxonomy |
City | WALLINGFORD |
Zip Code | 06492 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.