Individual provider · Type 1 NPI

Theresa Mary Renart

Adult Health Nurse Practitioner · Bayside Hills, NY

NPI number 1396456083 Active

Practice location

4830 Bell Blvd
Bayside Hills, NY 11364-1236

Fax (718) 423-1969

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF311100-01 (NY)

Adult Health Nurse Practitioner: Definition to come...

About NPI 1396456083

Theresa Mary Renart's National Provider Identifier is 1396456083, issued on Dec 13, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bayside Hills, NY. The record was last updated on Dec 13, 2022.