Provider Demographics
NPI:1316989643
Name:REDMAN, RENEE MICHELLE (FNP)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:MICHELLE
Last Name:REDMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:MICHELLE
Other - Last Name:SAVOIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1519 MONTE DIABLO
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401
Mailing Address - Country:US
Mailing Address - Phone:650-344-5747
Mailing Address - Fax:
Practice Address - Street 1:39500 LIBERTY STREET
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-770-8133
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP15989363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner