Organization · Type 2 NPI

Renew Aesthetics and Regenerative Medicine

Clinic/Center · Puyallup, WA

NPI number 1639933286 Active

Practice location

6302 112th St E Ste 300
Puyallup, WA 98373-4315

Mailing address

16616 139th Ave E
Puyallup, WA 98374-8830

Specialties and licenses

TaxonomyCodeLicense
Integrative Medicine Physician 202D00000XNone listed
Dermatology Physician 207N00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Clinic/Center Primary 261Q00000XNone listed
Nurse Practitioner 363L00000XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed
Women's Health Nurse Practitioner 363LW0102XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1639933286

Renew Aesthetics and Regenerative Medicine's National Provider Identifier is 1639933286, issued on Feb 13, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Puyallup, WA. The record was last updated on Feb 13, 2024.