Individual
MS. CYNTHIA SUE RENFREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,FNP
Contact information
Practice address
1801 E COTATI AVE, SONOMA STATE UNIVERSITY STUDENT HEALTH CENTER, ROHNERT PARK, CA 94928-3613
(707) 664-2921
Mailing address
406 G ST, PETALUMA, CA 94952-4221
(707) 765-2565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205243
LICENSE NUMBER
CA
Enumeration date
05/10/2007
Last updated
07/08/2007
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