Provider Demographics
NPI:1467481440
Name:ESSARY, RENEE MESSINA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:MESSINA
Last Name:ESSARY
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:436 CLAIRMONT CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-1765
Mailing Address - Country:US
Mailing Address - Phone:804-504-4671
Mailing Address - Fax:804-765-6490
Practice Address - Street 1:20901 CHESTERFIELD AVE
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23803-1903
Practice Address - Country:US
Practice Address - Phone:804-526-3500
Practice Address - Fax:804-526-4222
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2016-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024168282363LF0000X
PASP005616B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1467481440Medicaid
VA1467481440Medicaid
PA50046230OtherCAPITAL BLUE CROSS