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NPI Code Detail

MEDICARE: ROCHELLE R REIN NP

MEDICARE:   ROCHELLE R REIN  NP
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
1363L00000XNurse Practitioner4704271689MI

General Provider Information

NPI Number : 1578903266
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCHELLE R REIN NP
Provider Business Mailing Address
First Line : 1717 N HIGH ST
Second Line :
City : LANSING
State : MI
Zip : 48906-4529
Country : US
Telephone Number : 517-371-1700
Fax Number : 517-371-4245
Provider Business Practice Location Address
First Line : 1717 N HIGH ST
Second Line :
City : LANSING
State : MI
Zip : 48906-4529
Country : US
Telephone Number : 517-371-1700
Fax Number : 517-371-4245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2013
Last Update Date : 10/28/2014

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