Individual
FAITH REIMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Mailing address
722 W WATER ST, ELMIRA, NY 14905-2435
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
360301
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
360301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01804186
—
NY
Enumeration date
11/17/2006
Last updated
11/16/2015
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