Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Maye Renner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912831579

Holly Maye Renner is a Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

215 W 4th St
Mishawaka, IN 46544-1917
Phone: (574) 302-7163
Fax: (574) 544-0066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912831579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address215 W 4th St, Mishawaka, IN 46544-1917

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