| Provider / Organization | NPI | Date Certified |
|---|---|---|
| FATINA RENEE KENDALL | 1932820677 | 2022-09-16 |
Fatina Renee Kendall is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932820677. Registration indicates Fatina Renee Kendall is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Certified Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers, Clinical Nurse Specialist) (Clinical Nurse Specialist: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Clinical Nurse Specialist Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Clinical Nurse Specialist, ) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Fatina Renee Kendall |
| Practice Office Address | 3094 WILD ORCHID LN BURTON, MI US |
| Practice Office Telephone | 8102501106 |
| Mailing Address | 3094 WILD ORCHID LN BURTON, MI 485191583 US |
| Business Telephone | 8102501106 |
| Code | Practice | License No State |
|---|---|---|
| 364SP0808X | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Certified Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Clinical Nurse Specialist: Psych/Mental Health All Other Specialties & Provider Types Clinical Nurse Specialist Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist | 4704294689
MI |
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 4704294689
MI |