Healthcare Provider Details

I. General information

NPI: 1851928758
Provider Name (Legal Business Name): HEATHER REIMER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E 3RD ST
CHATTANOOGA TN
37403-2101
US

IV. Provider business mailing address

9760 OLD MOORE RD
OOLTEWAH TN
37363-1504
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-5437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number26948
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN000002648
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: