person
Laura Lea Raineri, FNP
Family Nurse Practitioner in Scott Afb, Illinois
NPI 1578029419

Laura Lea Raineri is a Family Nurse Practitioner based in Imperial, IL and is specialized in Family. Laura Lea Raineri practices in Scott Afb, IL and has the professional credentials of FNP. The NPI Number for Laura Lea Raineri is 1578029419 and holds a License No. (Illinois).

The current practice location address for Laura Lea Raineri is 310 W Losey St, Scott Afb, IL and can be reached out via phone at 618-250-8425 and via fax at 618-256-6133.

Location: 310 W Losey St, Scott Afb, IL, 63052-3861
person
Provider Profile Details
NPI Number
1578029419
Provider Name
Laura Lea Raineri
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
310 W Losey St, Scott Afb, IL, 63052-3861
Phone Number
618-250-8425
Fax Number
618-256-6133
Provider Enumeration Date
02/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
310 W Losey St
City
State
Zip
62225-5250
Phone Number
618-250-8425
Fax Number
618-256-6133
person
Provider Business Mailing Address Details
Address
310 W Losey St
City
State
Zip
62225-5250
Phone Number
618-250-8425
Fax Number
618-256-6133
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
2019005030 (Missouri)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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