Individual
MS. RETA L VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
08652
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
200450030NP ANP PP
OR
363LA2200X
Adult Health Nurse Practitioner
2011031615
MO
363LA2200X
Adult Health Nurse Practitioner
60081469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0864364
—
OR
Enumeration date
04/10/2006
Last updated
08/16/2016
Update your record
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