Individual
BEVERLY GAYLE RENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP PA-C
Contact information
Practice address
450 STANYAN, 2ND FLOOR USF STUDENT MEDICAL CLINIC ST MARYS MEDICAL C, SAN FRANCISCO, CA 94117-1079
(415) 750-4980
(415) 750-8155
Mailing address
779 PORT WALK PLACE, REDWOOD CITY, CA 94065
(650) 622-9943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13272
CA
363LF0000X
Family Nurse Practitioner
272543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PA132720
PPIN
CA
Enumeration date
01/04/2006
Last updated
09/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us