Provider Demographics
NPI:1053847954
Name:ADORNETTO, RENEE LYNN (NP)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:LYNN
Last Name:ADORNETTO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 RAM RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-9702
Mailing Address - Country:US
Mailing Address - Phone:865-724-4790
Mailing Address - Fax:
Practice Address - Street 1:5150 US 29 BUSINESS
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320
Practice Address - Country:US
Practice Address - Phone:336-660-5775
Practice Address - Fax:336-660-5776
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018496363LF0000X
AL1-157155363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily