Individual
TYLER REINCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2102 NEZ PERCE DR, LEWISTON, ID 83501-4116
(208) 743-4434
Mailing address
2102 NEZ PERCE DR, LEWISTON, ID 83501-4116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64930
ID
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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