Provider Demographics
| NPI: | 1417302175 |
|---|---|
| Name: | RENEE, YVONNE (RRT) |
| Entity Type: | Individual |
| Prefix: | |
| First Name: | YVONNE |
| Middle Name: | |
| Last Name: | RENEE |
| Suffix: | |
| Gender: | F |
| Credentials: | RRT |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 359 SEINE WAY |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HENDERSON |
| Mailing Address - State: | NV |
| Mailing Address - Zip Code: | 89014-7508 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 702-400-0350 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 359 SEINE WAY |
| Practice Address - Street 2: | |
| Practice Address - City: | HENDERSON |
| Practice Address - State: | NV |
| Practice Address - Zip Code: | 89014-7508 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 702-400-0350 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2016-05-02 |
| Last Update Date: | 2016-05-02 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NV | RC 2449 | 2279C0205X, 2279E0002X, 2279E1000X, 2279G0305X, 2279G1100X, 2279H0200X, 2279P1005X, 2279P3800X, 2279P4000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2279G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | General Care |
| No | 2279C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Critical Care |
| No | 2279E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Emergency Care |
| No | 2279E1000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Educational |
| No | 2279G0305X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Geriatric Care |
| No | 2279H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Home Health |
| No | 2279P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Rehabilitation |
| No | 2279P3800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Palliative/Hospice |
| No | 2279P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Patient Transport |
