Active NPIIndividual provider

Renee M Johannensen, MD

Obstetrics & Gynecology, Obstetrics in Lebanon, New Hampshire

NPI Number1629141486
Practice location
1 Medical Center Dr, Lebanon, NH 03756-1000
Fax
—
Last updated
March 30, 2018

Renee M Johannensen is an Obstetrics & Gynecology, Obstetrics based in Lebanon, NH. Renee M Johannensen practices in Lebanon, NH and has the professional credentials of MD. The NPI Number for Renee M Johannensen is 1629141486 and holds a License No. 13120 (NH). The current practice location address for Renee M Johannensen is 1 Medical Center Dr, Lebanon, NH 03756-1000 and can be reached out via phone at 603-650-5000.

Provider Profile Details

NPI Number
1629141486
Provider Name
Renee M Johannensen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Dr, Lebanon, NH 03756-1000
Phone Number
603-650-5000
Primary Taxonomy
Obstetrics & Gynecology, Obstetrics · 207VX0000X
Sole Proprietor
No
Other Names
-- Renee J Novello, MD (Former Name)
Provider Enumeration Date
November 17, 2006
Last Update Date
March 30, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
Zip
03756-1000
Phone Number
603-650-5000
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
289 County RD
Windsor, VT 05089-9000
City
Windsor
State
VT
Zip
05089-9000
Phone Number
802-674-7300
Fax Number
802-674-7314

License Information

License Number (1)
13120
License State (1)
NH
Taxonomy (1)
Obstetrics & Gynecology · 207V00000X
License Number (2)
263512
License State (2)
NY
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X
License Number (3)
042-0011195
License State (3)
VT
Taxonomy (3)
Obstetrics & Gynecology, Obstetrics · 207VX0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Renee M Johannensen, MD?

The NPI number of Renee M Johannensen, MD is 1629141486. It was assigned on November 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Renee M Johannensen, MD?

Renee M Johannensen, MD is registered under the primary taxonomy Obstetrics & Gynecology, Obstetrics (code 207VX0000X), licensed in NH under license number 13120.

Where does Renee M Johannensen, MD practice?

The practice location is 1 Medical Center Dr, Lebanon, NH 03756-1000. The office can be reached at 603-650-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629141486 directly on the NPPES registry website.

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