Individual
LARISSA REINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 S PARK ST, MADISON, WI 53715-1348
(608) 287-2250
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
239887
WI
Other
Enumeration date
06/07/2022
Last updated
10/21/2022
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