Individual
TRACEY REINDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1335 SUMMIT AVE, APT 104, OSHKOSH, WI 54901-7713
(920) 410-4205
Mailing address
1335 SUMMIT AVE, APT 104, OSHKOSH, WI 54901-7713
(920) 410-4205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140559-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043408
—
WI
Enumeration date
03/11/2015
Last updated
04/16/2015
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