Provider Demographics
NPI:1548214810
Name:BUENZOW, RENE L (DNP, PMHNP-BC, APRN)
Entity type:Individual
Prefix:DR
First Name:RENE
Middle Name:L
Last Name:BUENZOW
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, APRN
Other - Prefix:
Other - First Name:RENE
Other - Middle Name:L
Other - Last Name:KRIENER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, PMHNP-BC, APRN
Mailing Address - Street 1:5534 MEDICAL CIR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1298
Mailing Address - Country:US
Mailing Address - Phone:608-274-0355
Mailing Address - Fax:608-274-5546
Practice Address - Street 1:2901 HUNTERS TRL
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:WI
Practice Address - Zip Code:53901-3403
Practice Address - Country:US
Practice Address - Phone:608-742-5518
Practice Address - Fax:608-268-9780
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI255039363L00000X
WI10148-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100101032Medicaid
WI100268176Medicaid
MN610140200Medicaid