Individual
NINA REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1300 N. 1ST ST., YAKIMA, WA 98901
(509) 853-4327
Mailing address
306 N 31ST AVE, YAKIMA, WA 98902-2336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00169288
WA
363LF0000X
Family Nurse Practitioner
Primary
60894976
WA
Other
Enumeration date
11/19/2015
Last updated
12/05/2018
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