Healthcare Provider Details

I. General information

NPI: 1396653200
Provider Name (Legal Business Name): MRS. INGRID CARLSTEIN-REYES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 STATE ST STE 201B
CEDAR FALLS IA
50613-3389
US

IV. Provider business mailing address

200 STATE ST STE 201B
CEDAR FALLS IA
50613-3389
US

V. Phone/Fax

Practice location:
  • Phone: 319-319-1794
  • Fax:
Mailing address:
  • Phone: 319-319-1794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: