Individual
ROBERTA VERNICE REICHENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9730 W SMITH ST, YORKTOWN, IN 47396-1199
(765) 722-6130
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003477A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003477A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201005830
—
IN
01
—
P01076664
MEDICARE RR
IN
Enumeration date
12/17/2010
Last updated
10/30/2017
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