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Individual

MRS. RENEE M RENNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1660
(304) 845-3211
Mailing address
PO BOX 644118, PO BOX 644118, PITTSBURGH, PA 15264-4118

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
718
WV
363AM0700X
Medical Physician Assistant
50.002445
OH
363AS0400X
Surgical Physician Assistant
50.002445
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0131865
OH
05
1760530521
WV
Enumeration date
01/08/2007
Last updated
12/23/2025
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