Mandy Kay Renak (NPI# 1205241650, PAC ID# 4385865955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205241650 |
| PAC ID by PECOS | 4385865955 |
| Professional Enrollment ID | I20141023001232 |
| Full Name | Mandy Kay Renak |
| Organization Legal Name | SOUTHWEST DISTRICT HEALTH |
| Address |
13307 Miami Ln Caldwell ID 83607-4701 |
| Phone Number | 2084555300 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143465666 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13307 Miami Ln, Caldwell, ID 83607-4701 | 2084555300 | SOUTHWEST DISTRICT HEALTH |
| 1008 E Locust St, Emmett, ID 83617-2711 | 2083656371 | SOUTHWEST DISTRICT HEALTH |
| Organization Legal Name | SOUTHWEST DISTRICT HEALTH |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| San Juanita Aguilar | Registered Dietitian Or Nutrition Professional | Southwest District Health | 13307 Miami Ln, Caldwell, ID 83607-4701 |
| Barbara F Zeller | Nurse Practitioner | Southwest District Health | 13307 Miami Ln, Caldwell, ID 83607-4701 |
| Cheryl R Thibault | Nurse Practitioner | Southwest District Health | 13307 Miami Ln, Caldwell, ID 83607-4701 |
| Street Address |
13307 MIAMI LN |
| City | CALDWELL |
| State | ID |
| Zip | 83607-4701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| San Juanita Aguilar | Registered Dietitian Or Nutrition Professional | Southwest District Health | 13307 Miami Ln, Caldwell, ID 83607-4701 |
| Barbara F Zeller | Nurse Practitioner | Southwest District Health | 13307 Miami Ln, Caldwell, ID 83607-4701 |
| Cheryl R Thibault | Nurse Practitioner | Southwest District Health | 13307 Miami Ln, Caldwell, ID 83607-4701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan G Hein | Chiropractic | 5216 Cleveland Blvd G, Caldwell, ID 83607-8124 |
| City | CALDWELL |
| Zip Code | 83607 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CALDWELL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mandy Kay Renak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.