Renee Pamela Gadzinski
Individual provider Active NPI Homemaker · Blanchester, OH
NPI 1093318552 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1093318552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- 1401421 (OH)
- Practice address
- 310 Bland Ave
Blanchester, OH 45107-1041 - Phone
- (513) 456-3530
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1401421 | OH | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 1401421 | OH | Yes |
Addresses
Primary practice location
310 Bland Ave
Blanchester, OH 45107-1041
Mailing address
310 Bland Ave
Blanchester, OH 45107-1041
Phone (513) 456-3530
Other providers in Blanchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.