Individual
KARI MARIE RENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
324 W SUPERIOR ST STE 600, DULUTH, MN 55802-1722
(218) 384-1714
(218) 203-4152
Mailing address
324 W SUPERIOR ST STE 600, DULUTH, MN 55802-1722
(218) 384-1714
(218) 203-4152
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
142456-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2537
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R153390-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538576517
—
MN
05
—
1538576517
—
WI
Enumeration date
07/22/2014
Last updated
03/09/2023
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