Individual
MRS. JEANETTE HAZEL MARIE REINERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
910 NW 16TH ST, FRUITLAND, ID 83619-2265
(208) 452-8000
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 452-8000
(208) 452-8055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62628
ID
Other
Enumeration date
10/09/2019
Last updated
12/12/2019
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