Individual
KRISTAN M RHEINHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000923A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200343940
—
IN
Enumeration date
01/19/2006
Last updated
07/03/2013
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