Provider Demographics
NPI:1316188758
Name:PEYREAU, RENATA J (FNP-C, GNP-C, RNFA)
Entity Type:Individual
Prefix:
First Name:RENATA
Middle Name:J
Last Name:PEYREAU
Suffix:
Gender:F
Credentials:FNP-C, GNP-C, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15632 STATE HIGHWAY 110 S
Mailing Address - Street 2:19
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-9384
Mailing Address - Country:US
Mailing Address - Phone:903-871-2132
Mailing Address - Fax:903-871-2333
Practice Address - Street 1:15632 STATE HIGHWAY 110 S
Practice Address - Street 2:19
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-9384
Practice Address - Country:US
Practice Address - Phone:903-871-2132
Practice Address - Fax:903-871-2333
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX727437363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner