Lookup NPI Numbers from the NPI Registry
NPI Profile for RENE BONTRAGER in JACKSON, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI # | 1164837563 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/24/2014 | |
| Last updated | 02/19/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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RENE BONTRAGER
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RENE BONTRAGER, CRNP