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Individual

ROBERTA VERNICE REICHENBACH

Active
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Individual

ROBERTA VERNICE REICHENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003477A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003477A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201005830
IN
01
P01076664
MEDICARE RR
IN
Enumeration date
12/17/2010
Last updated
10/30/2017
About Stedi
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  • EDI platform