Individual
COURTNEY N. RENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4218
(220) 564-4217
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4218
(220) 564-4217
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.16011
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104392
—
OH
01
—
COA16011NA
CRNA LICENSE
OH
01
—
P01338264
RAILROAD MEDICARE
OH
01
—
RN 334507
RN OHIO LICENSE
OH
Enumeration date
05/30/2014
Last updated
09/13/2023
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