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Individual

INGRID JANE RENWANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC/APRN

Contact information

Practice address
15260 VENTURA BLVD STE 1200, SHERMAN OAKS, CA 91403-5347
(310) 871-0670
Mailing address
1942 RICKENBACKER LN, LINCOLN, CA 95648-9354
(908) 361-1416

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO09960900
NJ
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NJ00461100
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95014570
CA

Other

Enumeration date
05/22/2015
Last updated
11/01/2024
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