| Doctor Name: | MS. RENEE TERESA HUSTED |
| NPI Number: | 1093774069 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F334363-1 |
| Business Practice Address: | 130 Center Way Corning, NY - 148302255 |
| Business Phone Number: | 6079369971 |
| Business Fax Number: | 6079362600 |
| Mailing Address: | 1 Guthrie Sq, SAYRE |
| State: | PA |
| Postal Code: | 188401625 |
| Phone Number: | 5708885858 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 07/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F334363-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |