Provider Demographics
NPI:1609388693
Name:MORIN, RENEE (APNP)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:MORIN
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:MARIE
Other - Last Name:TWIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2333 NORTHWESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53404-2520
Mailing Address - Country:US
Mailing Address - Phone:262-638-2000
Mailing Address - Fax:262-638-2006
Practice Address - Street 1:2333 NORTHWESTERN AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53404-2520
Practice Address - Country:US
Practice Address - Phone:262-638-2000
Practice Address - Fax:262-638-2006
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-30
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8111363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner