NPI 1811604887

Thea Renick

Practitioner Community Health Worker Imperial, MO

Practice location

Address: 1117 Main St, Imperial, MO 63052-2323
Phone: (636) 464-1100

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Missouri →

Registry record

NPI: 1811604887
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2022
Record last updated: 31 Oct 2022

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.