Laura Christine Renner, NP | |
2701 E 3rd St, Bloomington, IN 47401-5433 | |
(866) 389-2727 | |
Not Available |
Full Name | Laura Christine Renner |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2701 E 3rd St, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447039516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | GAA-NP001697 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71015264A (Indiana) | Primary |
Entity Name | Minuteclinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
Mailing Address | Practice Location Address |
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Laura Christine Renner, NP 2701 E 3rd St, Bloomington, IN 47401-5433 Ph: () - | Laura Christine Renner, NP 2701 E 3rd St, Bloomington, IN 47401-5433 Ph: (866) 389-2727 |
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