Provider Demographics
NPI:1134082522
Name:MARTIN, RENAE SCHMEIZL (RN, BSN, HWNC-BC, HN)
Entity type:Individual
Prefix:MRS
First Name:RENAE
Middle Name:SCHMEIZL
Last Name:MARTIN
Suffix:
Gender:F
Credentials:RN, BSN, HWNC-BC, HN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 S CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-1914
Mailing Address - Country:US
Mailing Address - Phone:401-785-7367
Mailing Address - Fax:
Practice Address - Street 1:28 CASWELL ST STE 200
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-7313
Practice Address - Country:US
Practice Address - Phone:401-785-7367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI18241H5171400000X
RIRN66369163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No171400000XOther Service ProvidersHealth & Wellness Coach