Provider Demographics
NPI:1699566190
Name:COLLETTE, RENEE (RN)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:COLLETTE
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 1:95 MAC COVE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-0448
Mailing Address - Country:US
Mailing Address - Phone:828-380-9380
Mailing Address - Fax:828-380-9380
Practice Address - Street 1:95 MAC COVE DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-0448
Practice Address - Country:US
Practice Address - Phone:828-380-9380
Practice Address - Fax:828-380-9380
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC161832163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development