Individual
MR. REYNALDO KIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 249-0212
Mailing address
4939 N 43RD ST, PHOENIX, AZ 85018-2733
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN201281
AZ
363L00000X
Nurse Practitioner
Primary
259426
AZ
363LF0000X
Family Nurse Practitioner
259426
AZ
Other
Enumeration date
05/08/2021
Last updated
07/08/2021
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