Individual
RENA ZODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
629D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
Mailing address
22 SYCAMORE DR, MECHANICSBURG, PA 17050-7925
(717) 215-8650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022884
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP022884
PENNSYLVANIA STATE BOARD OF NURSING
PA
Enumeration date
12/01/2020
Last updated
12/01/2020
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