Individual
ELIZABETH ANN REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1903 W MICHIGAN AVE, WESTERN MICHIGAN UNIVERSITY SINDECUSE HEALTH CENTER, KALAMAZOO, MI 49008-5445
(269) 387-3287
(269) 387-3679
Mailing address
1903 W MICHIGAN AVE, WESTERN MICHIGAN UNIVERSITY SINDECUSE HEALTH CENTER, KALAMAZOO, MI 49008-5445
(269) 387-3287
(269) 387-3679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704160623
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2244005
MEDICARE PROVIDER NUMBER
MI
Enumeration date
02/07/2006
Last updated
04/08/2011
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