# RENEE L HANEVOLD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750451134
- **Gender:** F
- **Credential:** APN, CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | NMW 1927 | CA | — |
| 367A00000X | Advanced Practice Midwife | NMW 1927 | CA | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 06/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1750451134 | — | NV |
| 01 | — | CAQH | 11225132 | — |