Provider Demographics
NPI:1902329063
Name:REITER, ENE (APRN)
Entity type:Individual
Prefix:
First Name:ENE
Middle Name:
Last Name:REITER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11917 SOUTHERN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7678
Mailing Address - Country:US
Mailing Address - Phone:561-878-1282
Mailing Address - Fax:
Practice Address - Street 1:11917 SOUTHERN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7678
Practice Address - Country:US
Practice Address - Phone:561-878-1282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9319313363LF0000X
FLARNP9319313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily