Individual
MRS. CORI LYNN RENACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGAC-NP
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 438-8910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0032220
OH
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0032220
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0032220
OH
Other
Enumeration date
10/11/2022
Last updated
07/03/2024
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