Provider Demographics
NPI:1225382351
Name:DUTCHER, RENEE T (PNP)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:T
Last Name:DUTCHER
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:MRS
Other - First Name:RENEE
Other - Middle Name:T
Other - Last Name:NEUHALFEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MISS RENEE T ANDRUS
Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3108
Mailing Address - Country:US
Mailing Address - Phone:615-425-4200
Mailing Address - Fax:
Practice Address - Street 1:1842 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-1323
Practice Address - Country:US
Practice Address - Phone:970-494-6975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO91028163W00000X
COAPN.0002387-NP363LP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics