TAMERA RENNAKER


Address: 4351 Fairwood Ct, Concord, CA 94521-1346
Phone: 9253813638

TAMERA RENNAKER (NPI# 1497370654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497370654
Entity Type Individual
Full Name TAMERA RENNAKER
Credential RN, IBCLC
Practice Address 4351 Fairwood Ct
Concord
CA 94521-1346
Practice Telephone 9253813638
Mailing Telephone 9253813638
Enumeration Date 2020-06-13
Last Update Date 2020-06-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
527653 CA Nursing Service Providers

Office Location

Street Address 4351 FAIRWOOD CT
City CONCORD
State CA
Zip Code 94521-1346

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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

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Competitor

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City CONCORD
Zip Code 94521

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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