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Organization
RENEE DIANE LLC
Active
Organization
RENEE DIANE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE PARISI PMHNP (OWNER)
(855) 949-3551
Entity
Organization
Contact information
Practice address
150 WASHINGTON AVE STE 201, SANTA FE, NM 87501-2038
(855) 949-3551
Mailing address
4040 ERIE ST PO BOX 665, WILLOUGHBY, OH 44094
(855) 949-3551
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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