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

Mrs. Mandie Leigh Renner, CCNS

Individual provider Neonatal Clinical Nurse Specialist · NPI 1760630131

Mrs. Mandie Leigh Renner, CCNS is a Neonatal Clinical Nurse Specialist in Tulsa, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2008
Specialties on file
2

Practice location Address checks out

1120 S Utica Ave Ste 2123
Tulsa, OK 74104
Phone: (918) 579-5402
Fax: (918) 579-5404
Show map & directions

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

Additional practice locations (1)

  • 8607 E. 104th St, Tulsa, OK 74113 — (918) 808-1881

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence 80137 (OK)
Neonatal Clinical Nurse Specialist Taxonomy 364SN0000X · Licence 81378 (OK)

Record details

NPI number1760630131
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCNS
Sole proprietorNo
NPI enumeratedAugust 28, 2008
Last updated in NPPESMarch 6, 2019

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