Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEA RENICK
ActiveTHEA RENICK is a Community Health Worker healthcare provider located in IMPERIAL, Missouri. NPI 1811604887 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · IMPERIAL, MO
Registration Details
- NPI Number
- 1811604887
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2022 (3.8329088186357 yrs)
- Last Updated
- Oct 31, 2022
Practice Information
- Address
-
1117 MAIN STIMPERIAL, MO, 630522323Browse MO providers · Browse ZIP 63052
- Phone
- 6364641100
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in IMPERIAL, MO
| Name | Credential | NPI |
|---|---|---|
| TIFFANY PENDER | — | 1053028027 |
| COURTNEY JEAN KRAKE | — | 1386351351 |
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.