Healthcare Provider Details

I. General information

NPI: 1700417169
Provider Name (Legal Business Name): COURTNEY DANIELLE REINTS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY DANIELLE ROBERTSON DNP

II. Dates (important events)

Enumeration Date: 02/03/2020
Last Update Date: 10/09/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 PLEASANT ST STE 300
DES MOINES IA
50309-1416
US

IV. Provider business mailing address

1215 PLEASANT ST STE 300
DES MOINES IA
50309-1416
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-6500
  • Fax: 515-241-8911
Mailing address:
  • Phone: 515-241-6500
  • Fax: 515-241-8911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number137517
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberC159263
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: