Individual
LISA DIANE RINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
17120 KERCHEVAL AVE, GROSSE POINTE, MI 48230-1661
(318) 886-3300
Mailing address
17120 KERCHEVAL AVE, GROSSE POINTE, MI 48230-1661
(313) 886-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704147850
MI
363LF0000X
Family Nurse Practitioner
4714147850
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3008817
LICENSE
KY
01
—
4704147850
LICENSE
MI
Enumeration date
12/05/2014
Last updated
09/24/2020
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