Organization · Type 2 NPI

Renuva Health LLC

Nurse Practitioner · Overland Park, KS

NPI number 1801155486 Active

Practice location

4400 College Blvd Ste 150
Overland Park, KS 66211-2326

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	None listed
Clinic/Center	261Q00000X	None listed
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

Michael David RileyInternist Chiropractor Overland Park, KS NPI 1700998721

Other nurse practitioner providers in Overland Park

See all in Overland Park →

NPI record

NPI: 1801155486
Entity type: Organization (Type 2)
Issued: May 16, 2012
Last updated: Dec 12, 2023
Status: Active

Other names

<unavail>
Renuva Back and Pain Center · doing business as
Renuva Back and Pain Center · doing business as

Authorized official

Dr. Michael Green, DC
Associate D.c.
(913) 667-2829

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1801155486

Renuva Health LLC's National Provider Identifier is 1801155486, issued on May 16, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Overland Park, KS. The record was last updated on Dec 12, 2023.