# MS. RETA L VINING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831152032
- **Gender:** F
- **Credential:** ANP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 08652 | OH | — |
| 363LA2200X | Adult Health Nurse Practitioner | 200450030NP ANP PP | OR | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 2011031615 | MO | — |
| 363LA2200X | Adult Health Nurse Practitioner | 60081469 | WA | — |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 08/16/2016