| Doctor Name: | MS. CYNTHIA SUE RENFREW |
| NPI Number: | 1134334675 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,MS,FNP |
| License Number: | 205243 |
| Business Practice Address: | 1801 E Cotati Ave Sonoma State University Student Health Center Rohnert Park, CA - 949283613 |
| Business Phone Number: | 7076642921 |
| Business Fax Number: | |
| Mailing Address: | 406 G St, PETALUMA |
| State: | CA |
| Postal Code: | 949524221 |
| Phone Number: | 7077652565 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 205243 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |