Individual
MAYONNE RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1301
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
29423
TN
363LG0600X
Gerontology Nurse Practitioner
95003389
CA
363LP2300X
Primary Care Nurse Practitioner
95003389
CA
Other
Enumeration date
11/11/2015
Last updated
03/31/2022
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