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Individual
MS. RENEE TERESA HUSTED
Active
Individual
MS. RENEE TERESA HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334363-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02620271
—
NY
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
P00173974
RR MEDICARE PIN
NY
01
—
P00337166
RR MEDICARE PIN
PA
Enumeration date
03/20/2006
Last updated
07/29/2011
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