Individual provider · Type 1 NPI

Evita Hanayo Renfroe, LPN

Licensed Practical Nurse · Dallas, GA

NPI number 1821985540 Active

Practice location

22 Collins Run Dr
Dallas, GA 30157-0207

Call (770) 344-9607 Map

Fax (770) 344-9607

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN073238 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1821985540

Evita Hanayo Renfroe, LPN's National Provider Identifier is 1821985540, issued on Jun 24, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dallas, GA. The record was last updated on Sep 9, 2025.