Individual
CRYSTAL RAYE RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 S BROADWAY ST STE 8, LOUISBURG, KS 66053-4082
(913) 423-9196
Mailing address
7131 W 135TH ST # 1107, OVERLAND PARK, KS 66223-1238
(913) 423-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11003936
FL
363LF0000X
Family Nurse Practitioner
Primary
5381893052
KS
Other
Enumeration date
09/10/2019
Last updated
09/13/2023
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