Provider Demographics
NPI:1669454252
Name:PEET, RENEE (CNM)
Entity type:Individual
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First Name:RENEE
Middle Name:
Last Name:PEET
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:8270 COLLEGE PKWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-4102
Mailing Address - Country:US
Mailing Address - Phone:239-333-3826
Mailing Address - Fax:239-201-2284
Practice Address - Street 1:16261 BASS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3671
Practice Address - Country:US
Practice Address - Phone:239-481-5477
Practice Address - Fax:239-201-2284
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2015-08-28
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Provider Licenses
StateLicense IDTaxonomies
FLRN1644462367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL301685400Medicaid
FL301685400Medicaid
FLY4773ZMedicare PIN