Healthcare Provider Details

I. General information

NPI: 1568440212
Provider Name (Legal Business Name): JOY C REINECK C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 W CHARLESTON BLVD 2ND FLR, UNIVERSITY WOMEN'S CENTER CLINIC
LAS VEGAS NV
89102-2254
US

IV. Provider business mailing address

1701 W CHARLESTON BLVD #215
LAS VEGAS NV
89102-2325
US

V. Phone/Fax

Practice location:
  • Phone: 702-383-2403
  • Fax: 702-671-2333
Mailing address:
  • Phone: 702-671-2395
  • Fax: 702-382-5388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN000738
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: