Provider Demographics
NPI:1851462048
Name:RENICK, ELINOR LOUISE (RN)
Entity Type:Individual
Prefix:MS
First Name:ELINOR
Middle Name:LOUISE
Last Name:RENICK
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 1:4398 TOWNSHIP ROAD 223 SE
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-9739
Mailing Address - Country:US
Mailing Address - Phone:740-342-1556
Mailing Address - Fax:
Practice Address - Street 1:4398 TOWNSHIP ROAD 223 SE
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-9739
Practice Address - Country:US
Practice Address - Phone:740-342-1556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN293732163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse