Individual
DENISE MCKENNA REISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
900 W FARIS RD FL 2, GREENVILLE, SC 29605-4255
(864) 455-8898
(864) 241-9237
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2071
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
2071
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED
—
SC
Enumeration date
09/03/2006
Last updated
05/18/2021
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