Most Relevant Information
Provider Data
| NPI Number: | 1649273681 |
| Provider Name: | ROSE ANN RENOUF CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 19368 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
1401 HENDERSON ST
FORT WORTH
TX
761026026
Practice Location Phone/Fax
| Phone: | 8173327664 |
| Fax: |
Provider Mailing Location
PO BOX 2457
FORT WORTH
TX
761132457
Provider Mailing Phone/Fax
| Phone: | 8173327664 |
| Fax: |