DR. VANESSA LYNN WIDNER REN M.D. NPI 1508179417

NPI Information

  • NPI: 1508179417
  • Provider Name: DR. VANESSA LYNN WIDNER REN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 5100 NW WAUKOMIS DR STE A
    NORTHMOOR, MO
    ZIP 64151
  • Phone: (913) 980-4697

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NPI Details

DR. Vanessa Lynn Widner Ren, M.D. is a family medicine in Northmoor, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Vanessa Lynn Widner Ren, M.D. NPI is 1508179417. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5100 NW WAUKOMIS DR STE A
NORTHMOOR, MO
ZIP 64151-516
Phone: (913) 980-4697
Fax: (844) 380-1190

The enumeration date for this NPI number is 7/20/2010 and was last updated on 2/20/2018.

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
1207QA0401XFamily MedicineAddiction Medicine2013037136MISSOURINo
2207QA0505XFamily MedicineAdult Medicine2013037136MISSOURINo
3207QH0002XFamily MedicineHospice and Palliative Medicine2013037136MISSOURINo
4207Q00000XFamily Medicine2013037136MISSOURIYes

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: 11/21/2025

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