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Individual
ERIC RENICKER
Active
Individual
ERIC RENICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
140944
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0990535-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RXN.0100732-NP
CO
Other
Enumeration date
01/25/2007
Last updated
07/08/2023
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