Individual
DANIELLE RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3640 NW SAMARITAN DR STE 100B, CORVALLIS, OR 97330-3784
(541) 768-5223
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
201405467RN
OR
363L00000X
Nurse Practitioner
Primary
201408661NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
201408661NP-PP
OR
Other
Enumeration date
08/27/2014
Last updated
11/10/2020
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