JOSE L RENTERIA, ACNP, Acute Care GREAT BEND, KS

Contact Information

JOSE L RENTERIA, ACNP

1905 19TH ST
GREAT BEND, KS 67530-2502

Phone: 620-792-5700
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Acute Care	363LA2100X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for JOSE L RENTERIA · (Male)

NPI #	`1053704361`
Status	Active
Credentials	ACNP
Entity	Individual
Enumeration date	03/11/2015
Last updated	03/16/2015 - About 11 years ago
Sole proprietor ¹	No
Identifiers	KS License # 53-76710-092
Hospital affiliation(s)	ELLINWOOD DISTRICT HOSPITAL - (Critical Access) 605 N MAIN STREET ELLINWOOD, KS 67526 HARLAN COUNTY HEALTH SYSTEM - (Critical Access) P O BOX 836, 717 NORTH BROWN ST ALMA, NE 68920 MINNEOLA DISTRICT HOSPITAL #2 - (Critical Access) 212 MAIN MINNEOLA, KS 67865 RAWLINS COUNTY HEALTH CENTER - (Critical Access) 707 GRANT ST ATWOOD, KS 67730 WARREN MEMORIAL HOSPITAL - (Critical Access) 905 SECOND ST FRIEND, NE 68359

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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