Individual
RENEE LYNN OLDACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
222 HERLONG AVE S, ROCK HILL, SC 29732-1158
(304) 520-2415
Mailing address
2617 GARVEY LANE, ERIE, PA 16506
(814) 882-6606
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
SP029212
PA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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