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NPI Code Detail

MEDICARE: JENNY A REIBER CRNA

MEDICARE: JENNY A REIBER CRNA
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
1367500000XCertified Registered Nurse Anesthetist213365NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982690392
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY A REIBER CRNA
Provider Business Mailing Address
First Line : PO BOX 560727
Second Line : ANESTHESIA DEPARTMENT
City : CHARLOTTE
State : NC
Zip : 28256-0727
Country : US
Telephone Number : 704-863-5665
Fax Number :
Provider Business Practice Location Address
First Line : 8800 N TRYON ST
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-3300
Country : US
Telephone Number : 704-863-5665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 09/23/2016

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Directions to “ JENNY A REIBER CRNA” Practice Location

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