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NPI Code Detail

MEDICARE: BETHANY L REINER RN, CNP

MEDICARE: BETHANY L REINER RN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerCOA.13958-NPOH

General Provider Information

NPI Number : 1124364401
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY L REINER RN, CNP
Provider Business Mailing Address
First Line : 700 ACKERMAN RD
Second Line : STE 570
City : COLUMBUS
State : OH
Zip : 43202-1579
Country : US
Telephone Number : 614-293-2594
Fax Number : 614-293-4487
Provider Business Practice Location Address
First Line : 1455 S 4TH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1011
Country : US
Telephone Number : 614-444-0800
Fax Number : 614-225-0991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2012
Last Update Date : 07/30/2018

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