Healthcare Provider Details

I. General information

NPI: 1568426351
Provider Name (Legal Business Name): CHRISTINE REUSCHER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL KY
42223-5318
US

IV. Provider business mailing address

3910 STELLA DR
CLARKSVILLE TN
37040-5589
US

V. Phone/Fax

Practice location:
  • Phone: 270-798-8400
  • Fax:
Mailing address:
  • Phone: 931-542-0855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number153399
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: