Healthcare Provider Details

I. General information

NPI: 1245359975
Provider Name (Legal Business Name): HELENMAE REISNER BA, BSN, R.N., COHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 06/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 BRENTWOOD RD NE BOX 62
WASHINGTON DC
20066-9998
US

IV. Provider business mailing address

1011 1ST ST SE APT 206
WASHINGTON DC
20003-3392
US

V. Phone/Fax

Practice location:
  • Phone: 202-636-7304
  • Fax: 215-636-5334
Mailing address:
  • Phone: 301-800-2082
  • Fax: 650-577-4671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License NumberR146996
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License NumberRN524084L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: