Individual
LIESL CORRIN RENFREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 FULLEN ST, SUTTER CREEK, CA 95685-8700
(209) 217-7182
Mailing address
91 FULLEN ST, SUTTER CREEK, CA 95685-8700
(209) 217-7182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN747551
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN747551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN747551
MEDI-CAL
CA
Enumeration date
04/14/2009
Last updated
01/12/2026
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