Healthcare Provider Details

I. General information

NPI: 1356329940
Provider Name (Legal Business Name): RONIT L REUVENY CNM, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 S FLAT ROCK RD
BLOOMINGTON IN
47403-3285
US

IV. Provider business mailing address

2550 S FLAT ROCK RD
BLOOMINGTON IN
47403-3285
US

V. Phone/Fax

Practice location:
  • Phone: 317-349-7680
  • Fax: 833-975-0724
Mailing address:
  • Phone: 317-349-7680
  • Fax: 833-975-0724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71002718A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number72000020A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: