Individual
ELIZABETH RENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1303 STATE ST, MOUND CITY, MO 64470-1717
(816) 596-2215
Mailing address
1303 STATE ST, MOUND CITY, MO 64470-1717
(816) 307-8231
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2019012515
MO
363LF0000X
Family Nurse Practitioner
Primary
2019012515
MO
Other
Enumeration date
07/19/2019
Last updated
01/29/2024
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