MEDICARE: JAMIE LEE REINDEL FNP

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
1	363L00000X	Nurse Practitioner	NP08867	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	NP21752	OTHER	OH	MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336164755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE LEE REINDEL FNP

Provider Business Mailing Address
First Line	:	PO BOX 636930
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-0001
Country	:	US
Telephone Number	:	800-514-4390
Fax Number	:	440-808-3676

Provider Business Practice Location Address
First Line	:	2745 FORT AMANDA RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45805-4805
Country	:	US
Telephone Number	:	419-996-5700
Fax Number	:	419-996-5639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/06/2021

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