Individual
MADELINE DEE RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6000 MEMORIAL CHURCH DR, MORGANTOWN, WV 26501-1503
(304) 292-7316
Mailing address
6000 MEMORIAL CHURCH DR, MORGANTOWN, WV 26501-1503
(304) 292-7316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120367
WV
Other
Enumeration date
02/13/2024
Last updated
08/20/2024
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