CASSANDRA RENNER NPI 1235968975

NPI Information

  • NPI: 1235968975
  • Provider Name: CASSANDRA RENNER
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3001 S HANOVER ST STE 108
    BALTIMORE, MD
    ZIP 21225
  • Phone: (410) 350-2173

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NPI Details

Cassandra Renner is a pediatrics nurse practitioner in Baltimore, MD. Cassandra Renner NPI is 1235968975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3001 S HANOVER ST STE 108
BALTIMORE, MD
ZIP 21225-233
Phone: (410) 350-2173
Fax: (410) 350-2253

The NPI 1235968975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2024 and was last updated on 11/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsR228474MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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