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

Matthew Lane Renner, PA-STUDENT

Individual provider Physician Assistant · NPI 1740055912

Matthew Lane Renner, PA-STUDENT is a Physician Assistant in Greeley, Colorado. Licensed in Colorado. Registered with an NPI since 2023.

Licensed in
CO
In the registry since
2023

Practice location Address checks out

8225 W 20th St
Greeley, CO 80634-3037
Phone: (970) 744-0279
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0009086 (CO)

Record details

NPI number1740055912
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-STUDENT
Sole proprietorNo
NPI enumeratedNovember 17, 2023
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

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