Individual
LISA REINHERZ JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 THOMAS ST, GLEN RIDGE, NJ 07028-2215
(646) 573-4653
Mailing address
200 THOMAS ST, GLEN RIDGE, NJ 07028-2215
(646) 573-4653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
613216
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
613216
NY
Other
Enumeration date
06/19/2013
Last updated
10/25/2022
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