Provider Demographics
NPI:1215545819
Name:RHEINLANDER, CORINNE ANN (APRN)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:ANN
Last Name:RHEINLANDER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:ANN
Other - Last Name:SHOWALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8000 SR 64 E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-7703
Mailing Address - Country:US
Mailing Address - Phone:941-792-1404
Mailing Address - Fax:941-761-0712
Practice Address - Street 1:8340 LAKEWOOD RANCH BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5046
Practice Address - Country:US
Practice Address - Phone:941-792-1404
Practice Address - Fax:941-761-0712
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008003363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLUP3JOOtherBLUE CROSS BLUE SHIELD
FL107454300Medicaid
FLMV330OtherMEDICARE