Provider Demographics
NPI:1104115286
Name:RINEER, JOYCE ANN (ANP, APRN)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ANN
Last Name:RINEER
Suffix:
Gender:F
Credentials:ANP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 ELLA KINLEY CIR UNIT 305
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-3729
Mailing Address - Country:US
Mailing Address - Phone:817-944-2058
Mailing Address - Fax:
Practice Address - Street 1:150 ELLA KINLEY CIR UNIT 305
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-3729
Practice Address - Country:US
Practice Address - Phone:817-944-2058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2022-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX510876363LA2200X
TXAP120123363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1104115286OtherNATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES).
TX280157YKPWMedicare PIN