NPI 1225061294

Dana Renick, PAC

Practitioner Physician Assistant Ronceverte, WV

Practice location

Address: 200 Maplewood Ave, Ronceverte, WV 24970-1334
Phone: (304) 647-1161
Fax: (304) 647-3006
Mailing address: Hc 68 Box 7, Renick, WV 24966-9732

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence DO-154 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1225061294
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.