Healthcare Provider Details

I. General information

NPI: 1104762780
Provider Name (Legal Business Name): EMI REINER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 SCHENK ST
MADISON WI
53714-2331
US

IV. Provider business mailing address

545 W DAYTON ST
MADISON WI
53703-1995
US

V. Phone/Fax

Practice location:
  • Phone: 608-204-1504
  • Fax: 608-237-0420
Mailing address:
  • Phone: 608-204-1504
  • Fax: 608-237-0420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number223394-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: