Provider Demographics
NPI:1568553543
Name:REIFSCHNEIDER, JANELLE DENISE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:DENISE
Last Name:REIFSCHNEIDER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:JANELLE
Other - Middle Name:DENISE
Other - Last Name:SHARRAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:2091 BOX BUTTE AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:NE
Mailing Address - Zip Code:69301-4458
Mailing Address - Country:US
Mailing Address - Phone:308-762-4357
Mailing Address - Fax:308-762-1923
Practice Address - Street 1:500 LILLY RD NE STE 150
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-9106
Practice Address - Country:US
Practice Address - Phone:360-413-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY23091.375367500000X
WAAP60942849367500000X
NE100740367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY115474500Medicaid