Provider Demographics
NPI:1104122100
Name:RIEMENSCHNEIDER, MARJORIE LOUISE (RN)
Entity type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:LOUISE
Last Name:RIEMENSCHNEIDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 KENNETH LN
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-8971
Mailing Address - Country:US
Mailing Address - Phone:763-218-9279
Mailing Address - Fax:
Practice Address - Street 1:111 KENNETH LN
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-8971
Practice Address - Country:US
Practice Address - Phone:763-218-9279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR163380-3163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse