Individual
MS. JANICE M RENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
7603 FOREST AVE, SUITE 303, RICHMOND, VA 23229-4942
(804) 282-8005
(804) 288-0269
Mailing address
7603 FOREST AVE, SUITE 303, RICHMOND, VA 23229-4942
(804) 282-8005
(804) 288-0269
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024102491
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609890300
—
VA
Enumeration date
07/26/2006
Last updated
12/13/2010
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