Individual
DR. RENE L BUENZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC, APRN
Contact information
Practice address
2901 HUNTERS TRL, PORTAGE, WI 53901-3403
(608) 742-5518
(608) 268-9780
Mailing address
806 STONEY HILL LN, COTTAGE GROVE, WI 53527-9184
(563) 422-0437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
255039
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10148-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101032
—
WI
05
—
100268176
—
WI
Enumeration date
05/20/2006
Last updated
07/22/2025
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