Healthcare Provider Details

I. General information

NPI: 1184736894
Provider Name (Legal Business Name): RENEE LYNN REISINGER MS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. RENEE LYNN KAUN

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 S 7TH ST
DENTON MD
21629-1327
US

IV. Provider business mailing address

330 N HOWARD ST.
BALTIMORE MD
21201
US

V. Phone/Fax

Practice location:
  • Phone: 410-479-8124
  • Fax: 410-479-4871
Mailing address:
  • Phone: 410-576-1400
  • Fax: 410-576-7600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR083132
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: