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NPI Code Detail

MEDICARE: RICHARD B. REINHARDT

MEDICARE: RICHARD B. REINHARDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse93849CO

General Provider Information

NPI Number : 1134148109
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD B. REINHARDT
Provider Business Mailing Address
First Line : 1600 W 24TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-1411
Country : US
Telephone Number : 719-546-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1600 W 24TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-1411
Country : US
Telephone Number : 719-546-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 01/25/2026

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Directions to “ RICHARD B. REINHARDT ” Practice Location

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