Organization · Type 2 NPI
Renew Psychiatry LLC
Psychiatric/Mental Health Nurse Practitioner · Fargo, ND
NPI number
1447082391
Active
Practice location
4656 Amber Valley Pkwy S
Fargo, ND 58104-4593
Mailing address
2626 Pacific Dr S Apt 301
Fargo, ND 58103-5547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1447082391
Renew Psychiatry LLC's National Provider Identifier is 1447082391, issued on Aug 19, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fargo, ND. The record was last updated on Oct 13, 2024.