Healthcare Provider Details

I. General information

NPI: 1801941844
Provider Name (Legal Business Name): DELAINE M REIMAN RN,CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W 98TH ST
BLOOMINGTON MN
55420-4773
US

IV. Provider business mailing address

11728 GALTIER DR
BURNSVILLE MN
55337-5637
US

V. Phone/Fax

Practice location:
  • Phone: 952-885-6150
  • Fax:
Mailing address:
  • Phone: 952-885-6175
  • Fax: 952-885-6180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberR0731913
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: