Individual
KATHERINE REINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91474
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
6777
CT
Other
Enumeration date
10/04/2016
Last updated
01/30/2017
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