Individual
CAROLYN M RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1729 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3016
(863) 940-2908
(863) 940-4722
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7568
(813) 349-7561
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP1867632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034266100
—
FL
Enumeration date
06/20/2005
Last updated
04/22/2013
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