Individual
TAMMY S RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 460-1345
Mailing address
9710 E 520 S, WOLCOTTVILLE, IN 46795-9746
(260) 402-6229
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28168212A
IN
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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