Healthcare Provider Details

I. General information

NPI: 1043122989
Provider Name (Legal Business Name): ANGELA MARIE REINARTS BSN-RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E BOULEVARD AVE DEPT 325
BISMARCK ND
58505-0602
US

IV. Provider business mailing address

600 E BOULEVARD AVE DEPT 325
BISMARCK ND
58505-0602
US

V. Phone/Fax

Practice location:
  • Phone: 701-328-5060
  • Fax:
Mailing address:
  • Phone: 701-328-5060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR32370
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: