Individual
MS. RENATTIE LENORA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
16616 BILTMORE AVE, CLEVELAND, OH 44128-1442
(216) 798-7433
Mailing address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(855) 247-8374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95001616
CA
363L00000X
Nurse Practitioner
COA.10896
OH
363LA2200X
Adult Health Nurse Practitioner
COA10896
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.10896
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3013349
—
OH
01
—
P01817207-DU4034
RAILROAD MEDICARE
CA
01
—
P01817209-DU5182
RAILROAD MEDICARE
CA
Enumeration date
10/19/2009
Last updated
05/12/2026
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