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Individual

CONNIE K REIFENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3000 MACK RD, SUITE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 751-4353
Mailing address
3000 MACK RD, SUITE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 751-4353

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN154687
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2526298
OH
05
78014743
KY
Enumeration date
07/27/2005
Last updated
11/12/2015
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