Individual provider · Type 1 NPI
Michael Jay Rendle, NP-C
Family Nurse Practitioner · Moreno Valley, CA
NPI number
1255945200
Active
Practice location
12032 Champlain St
Moreno Valley, CA 92557-7713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1070301 (TX) |
| Family Nurse Practitioner | 363LF0000X | 95014922 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255945200
Michael Jay Rendle, NP-C's National Provider Identifier is 1255945200, issued on Sep 6, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moreno Valley, CA. The record was last updated on Dec 20, 2023.