Provider Demographics
NPI:1629337373
Name:BATTENFIELD, RENA LOY (ADN)
Entity Type:Individual
Prefix:MS
First Name:RENA
Middle Name:LOY
Last Name:BATTENFIELD
Suffix:
Gender:F
Credentials:ADN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 N 82ND ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-5611
Mailing Address - Country:US
Mailing Address - Phone:480-484-3111
Mailing Address - Fax:480-484-3101
Practice Address - Street 1:6320 N 82ND STREET
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-5611
Practice Address - Country:US
Practice Address - Phone:480-484-3111
Practice Address - Fax:480-484-3101
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN165815163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool