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Desiree Reinken
Family Nurse Practitioner in Villa Ridge, Missouri
NPI 1184219339

Desiree Reinken is a Family Nurse Practitioner based in Villa Ridge, MO and is specialized in Family. Desiree Reinken practices in Villa Ridge, MO. The NPI Number for Desiree Reinken is 1184219339 and holds a License No. F10200667 (Missouri).

The current practice location address for Desiree Reinken is 956 Rosetta Dr, Villa Ridge, MO and can be reached out via phone at 636-402-8517.

Location: 956 Rosetta Dr, Villa Ridge, MO, 63089-2107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184219339
Provider Name
Desiree Reinken
Credential
Provider Entity Type
Individual
Gender
Female
Address
956 Rosetta Dr, Villa Ridge, MO, 63089-2107
Phone Number
636-402-8517
Fax Number
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
956 Rosetta Dr
City
Villa Ridge
State
Missouri
Zip
63089-1297
Phone Number
636-402-8517
Fax Number
person
Provider Business Mailing Address Details
Address
956 Rosetta Dr
City
Villa Ridge
State
Missouri
Zip
63089-1297
Phone Number
636-402-8517
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F10200667 (Missouri)
Definition
Definition to come...
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