Provider Demographics
NPI:1770469850
Name:RENCH, DANIEL ROBERT (RN)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ROBERT
Last Name:RENCH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7539 PRAIRIE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-8408
Mailing Address - Country:US
Mailing Address - Phone:317-714-7053
Mailing Address - Fax:
Practice Address - Street 1:387 PARK AVE S FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8810
Practice Address - Country:US
Practice Address - Phone:877-590-3642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4257131163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management