Individual
RENEA M REANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4701 IRVING BLVD NW APT 508, ALBUQUERQUE, NM 87114-3906
(505) 916-6162
Mailing address
4701 IRVING BLVD NW APT 508, ALBUQUERQUE, NM 87114-3906
(505) 916-6162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
62681
NM
363LP0200X
Pediatric Nurse Practitioner
202018145
NM
Other
Enumeration date
10/23/2020
Last updated
12/07/2023
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