Doctor Name: | RENAE A DURFEE |
NPI Number: | 1215135488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | R134262-8 |
Business Practice Address: | 112 Saint Olaf Ave S Canby, MN - 562201433 |
Business Phone Number: | 5072237277 |
Business Fax Number: | |
Mailing Address: | 112 Saint Olaf Ave S, CANBY |
State: | MN |
Postal Code: | 562201433 |
Phone Number: | 5072237277 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R134262-8 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |