Provider Demographics
NPI:1154297109
Name:RENT, NAOMI MICHELLE NATASHA (APRN)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:MICHELLE NATASHA
Last Name:RENT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:NH
Mailing Address - Zip Code:03222-0072
Mailing Address - Country:US
Mailing Address - Phone:508-326-9198
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 72
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:NH
Practice Address - Zip Code:03222-0072
Practice Address - Country:US
Practice Address - Phone:508-326-9198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0040612363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily