Individual
MRS. DEANNA RENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP, PMHNP-C
Contact information
Practice address
3405 DALLAS HWY SW STE 300, MARIETTA, GA 30064-6426
(770) 425-5331
(770) 425-0799
Mailing address
3405 DALLAS HWY SW STE 300, MARIETTA, GA 30064-6426
(770) 425-5331
(770) 425-0799
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN104510
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN104510
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN104510
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647974880E
—
GA
Enumeration date
04/18/2007
Last updated
11/12/2025
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