RENEW HEALTH NPI 1336808831

NPI Information

NPI: 1336808831
Provider Name: RENEW HEALTH
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 32D2252529

Address:
207 N UNION AVE STE E
ROSWELL, NM
ZIP 88201
Phone: (940) 399-6165
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RENEW HEALTH is a family nurse practitioner in Roswell, NM. RENEW HEALTH NPI is 1336808831. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

207 N UNION AVE STE E
ROSWELL, NM
ZIP 88201-068
Phone: (940) 399-6165

The provider's authorized official is Robert Trent Carter .
The authorized official title is Owner and has the following contact phone number (575) 363-3189.

The CLIA number assigned to this NPI record is 32D2252529 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2021 and was last updated on 2/22/2022.

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
1	363LF0000X	Nurse Practitioner	Family			Yes

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: 11/14/2023

NPI Synchronization or Removal

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