Individual
MS. MICHELE REINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
200 S HERLONG AVE STE C, ROCK HILL, SC 29732-1182
(803) 323-2854
(803) 323-2856
Mailing address
1440 BRYSON GAP DR, FORT MILL, SC 29715-0182
(716) 866-4260
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22211
SC
Other
Enumeration date
09/11/2018
Last updated
09/18/2018
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