Individual
HEATHER RENYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 PINE GROVE DR, WILMINGTON, NC 28403-5136
(910) 262-1722
Mailing address
109 ST LAWRENCE DR, ROCKY POINT, NC 28457-1324
(401) 481-6238
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
228550
NC
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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