Individual provider · Type 1 NPI
Colleen Grace Renzi, PA-C
Surgical Physician Assistant · North Bethesda, MD
NPI number
1154740322
Active
Practice location
11601 Split Rail Ct
North Bethesda, MD 20852-4423
Mailing address
9901 Medical Center Dr
Rockville, MD 20850-3357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | C0005337 (MD) |
Surgical Physician Assistant: Definition to come...
About NPI 1154740322
Colleen Grace Renzi, PA-C's National Provider Identifier is 1154740322, issued on Apr 15, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in North Bethesda, MD. The record was last updated on Apr 15, 2014.