Renaissance Wellness Center

NPI 1134534415 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1134534415
Enumeration Date 06/25/2014
Last Updated 06/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MICHAEL MICHAEL
Position MEDICAL DIRECTOR
Phone (865) 240-4802
Fax (865) 240-4573
Practice Location
7220 WELLINGTON DR
KNOXVILLE TN, 37919-5955, US
Phone (865) 240-4802
Fax (865) 240-4573
Business Location
7220 WELLINGTON DR
KNOXVILLE TN, 37919-5955, US
Phone (865) 240-4802
Fax (865) 240-4573
Toxanomy
Taxonomy Code 363L00000X
License State Tennessee
License Number 17485
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According to our database, Renaissance Wellness Center NPI is 1134534415, taxonomy code is 363L00000X and license number is 17485, license state is located at Tennessee. Renaissance Wellness Center physically located at 7220 Wellington Dr, Knoxville TN, 37919-5955. NPI Number 1033115704 has the healthcare provider type.

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1134534415 NPI number is provided on an as is basis without warranty of any kind. 1134534415 is maintained by the National Plan & Provider Enumeration System. The contents of Renaissance Wellness Center are for informational purposes only.