Provider Demographics
NPI:1730340654
Name:RENOUF, PAULA JEANETTE (PNP)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:JEANETTE
Last Name:RENOUF
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 CENTRAL TCE
Mailing Address - Street 2:KELBURN
Mailing Address - City:WELLINGTON
Mailing Address - State:NZ
Mailing Address - Zip Code:6012
Mailing Address - Country:NZ
Mailing Address - Phone:642-186-6458
Mailing Address - Fax:
Practice Address - Street 1:240 SHOTWELL ST
Practice Address - Street 2:MISSION NEIGHBORHOOD HEALTH CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-1323
Practice Address - Country:US
Practice Address - Phone:415-552-3870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA451852363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics