| Renew Health And Wellness | |
|
18805 W Catawba Ave Ste 100 Cornelius NC 28031-4608 | |
| (704) 612-0011 | |
| Not Available |
| Full Name | Renew Health And Wellness |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 18805 W Catawba Ave Ste 100, Cornelius, North Carolina |
| Authorized Official Name and Position | Micah Kirscher (OWNER) |
| Authorized Official Contact | 7043101175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Health And Wellness 18805 W Catawba Ave Ste 100 Cornelius NC 28031-4608 Ph: (704) 612-0011 | Renew Health And Wellness 18805 W Catawba Ave Ste 100 Cornelius NC 28031-4608 Ph: (704) 612-0011 |
| NPI Number | 1881223139 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 02/18/2021 |
| Medicare PECOS PAC ID | 5991126641 |
|---|---|
| Medicare Enrollment ID | O20210330002404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881223139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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