Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VANESSA LYNN WIDNER REN, M.D.
Active Sole ProprietorDR. VANESSA LYNN WIDNER REN, M.D. is a Family Medicine healthcare provider located in NORTHMOOR, Missouri. NPI 1508179417 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NORTHMOOR, MO
Registration Details
- NPI Number
- 1508179417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2010 (15.885229489435 yrs)
- Last Updated
- Feb 20, 2018
- Licenses
-
2013037136 (MO)2013037136 (MO)2013037136 (MO)2013037136 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5100 NW WAUKOMIS DR STE ANORTHMOOR, MO, 641513516Browse MO providers · Browse ZIP 64151
- Phone
- 9139804697
- Fax
- 8443801190
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Adolescent Medicine
- Additional Specialty
- Hospice and Palliative Medicine
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.