Individual
CASEY RENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1210 10TH AVE, PORT HURON, MI 48060-3406
(810) 662-3505
Mailing address
1210 10TH AVE, PORT HURON, MI 48060-3406
(810) 662-3505
(810) 662-3479
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704279421
MI
Other
Enumeration date
11/26/2019
Last updated
01/22/2026
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