Provider Demographics
NPI:1154219475
Name:CHANCE, RENEA MICHELLE (CPT)
Entity type:Individual
Prefix:
First Name:RENEA
Middle Name:MICHELLE
Last Name:CHANCE
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 STEEPHILL LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-6316
Mailing Address - Country:US
Mailing Address - Phone:254-554-1729
Mailing Address - Fax:
Practice Address - Street 1:286 STEEPHILL LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-6316
Practice Address - Country:US
Practice Address - Phone:254-554-1729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCB5W4C9J2246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy