SearchMissouri363LF0000X

Rene Revelle, CNP

NPI 1639584139 · on the registry since 2014

Practice

Address
304a E 4th St
Eldon, MO 65026
Phone
(573) 557-2400
Fax
(573) 557-2401
Organisation at this address
Lake Regional Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
OH, MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri