| Donald Melton Renzo, FNP-BC | |
|
2101 Woodclough Ct, Belmont, NC 28012-7804 | |
| (704) 277-9907 | |
| Not Available |
| Full Name | Donald Melton Renzo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2101 Woodclough Ct, Belmont, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306641311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | 352352 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5021715 (North Carolina) | Primary |
| Entity Name | Mainstreet And Kidsstreet Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144803040 PECOS PAC ID: 6901290238 Enrollment ID: O20220302000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Melton Renzo, FNP-BC 10039 University City Blvd, Charlotte, NC 28213-3698 Ph: (704) 277-9907 | Donald Melton Renzo, FNP-BC 2101 Woodclough Ct, Belmont, NC 28012-7804 Ph: (704) 277-9907 |
Kealin Jerrod Coffin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Park St, Belmont, NC 28012 Phone: 704-631-1820 | |
Allison Barnett Hux, PNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Park St, Suite 500, Belmont, NC 28012 Phone: 704-829-0025 Fax: 704-829-0031 | |
Hunter Elizabeth Nowak, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1223 Spruce St, Belmont, NC 28012 Phone: 980-834-8800 | |
Shaheerah Eruotor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Park St, Belmont, NC 28012 Phone: 704-631-1820 | |
Alexis Laverne Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1223 Spruce St, Belmont, NC 28012 Phone: 980-834-8800 Fax: 980-834-9879 | |
Melanie Eckstein, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Park St, Belmont, NC 28012 Phone: 704-631-1820 | |
Susan Messick, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6750 W Wilkinson Blvd, Belmont, NC 28012 Phone: 704-864-8749 |