Provider Demographics
NPI:1255658878
Name:RENCHER, DELONIA MICHELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DELONIA
Middle Name:MICHELLE
Last Name:RENCHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1958 AUTUMN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-4647
Mailing Address - Country:US
Mailing Address - Phone:330-274-7767
Mailing Address - Fax:
Practice Address - Street 1:1958 AUTUMN RIDGE DR
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-4647
Practice Address - Country:US
Practice Address - Phone:216-235-7304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-360009163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse