Provider Demographics
NPI:1063233625
Name:REINSCH, DIANA MARIE (RN BSN)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:MARIE
Last Name:REINSCH
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 U ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-3378
Mailing Address - Country:US
Mailing Address - Phone:531-299-1601
Mailing Address - Fax:531-299-1609
Practice Address - Street 1:3121 U ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-3378
Practice Address - Country:US
Practice Address - Phone:531-299-1601
Practice Address - Fax:531-299-1609
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA094454163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool