RENFREW CENTER NPI 1881158988

NPI Information

NPI: 1881158988
Provider Name: RENFREW CENTER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 39D0985724

Address:
475 SPRING LN
PHILADELPHIA, PA
ZIP 19128
Phone: (215) 779-9807
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RENFREW CENTER is a psychiatric/mental health nurse practitioner in Philadelphia, PA. RENFREW CENTER NPI is 1881158988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

475 SPRING LN
PHILADELPHIA, PA
ZIP 19128-918
Phone: (215) 779-9807

The provider's authorized official is Susan Ice .
The authorized official title is Chief Medical Officer and has the following contact phone number (215) 482-3036.

The CLIA number assigned to this NPI record is 39D0985724 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2019 and was last updated on 1/23/2019.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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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