Healthcare Provider Details

I. General information

NPI: 1447874730
Provider Name (Legal Business Name): DEBORAH COLLEEN RHEINFURTH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 06/02/2020
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25727 MCBEAN PARKWAY
VALENCIA CA
91355
US

IV. Provider business mailing address

25727 MCBEAN PKWY
VALENCIA CA
91355-3704
US

V. Phone/Fax

Practice location:
  • Phone: 661-200-1083
  • Fax:
Mailing address:
  • Phone: 661-200-1083
  • Fax: 661-200-1088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number319720
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: