Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.121760 | OH |
N | 207V00000X | Obstetrician & Gynecologist | LL28216 | SC |
N | 207V00000X | Obstetrician & Gynecologist | TP276 | KY |
Y | 207VX0201X | Gynecologic Oncologist | 35.121760 | OH |
NPI | 1104901065 |
---|---|
Provider Name | Dr. Dene' Courtney Wrenn |
First Address | Cincinnati, OH 45226-2326 |
Second Address | Fairfield, OH 45014-5379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 22/04/2021 |