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NPI Code Detail

MEDICARE: ILONA DALE REUTER ARNP

MEDICARE: ILONA DALE REUTER ARNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP2691922FL

General Provider Information

NPI Number : 1275528994
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILONA DALE REUTER ARNP
Provider Business Mailing Address
First Line : 379 6TH AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-8820
Country : US
Telephone Number : 941-782-4259
Fax Number : 941-782-4101
Provider Business Practice Location Address
First Line : 379 6TH AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-8820
Country : US
Telephone Number : 941-782-4259
Fax Number : 941-782-4101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 07/08/2007

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Directions to “ ILONA DALE REUTER ARNP” Practice Location

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