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Contact Information

FAYE RENNA
1509 UNIVERSITY BLVD NE
ALBUQUERQUE, NM87102-1708
 Phone: 505-242-4656
 Fax: 505-242-4657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for FAYE RENNA · (Female)

NPI # 1972992113
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2015
Last updated 01/13/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 3191
Hospital affiliation(s) Not Available
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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