Provider Demographics
NPI:1972641231
Name:REIN, NANCY H (MSN, FNP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:H
Last Name:REIN
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 CABLE ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-2807
Mailing Address - Country:US
Mailing Address - Phone:619-221-4490
Mailing Address - Fax:619-221-4494
Practice Address - Street 1:1933 CABLE ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92107-2807
Practice Address - Country:US
Practice Address - Phone:619-221-4490
Practice Address - Fax:619-221-4494
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA318396363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWNP6995AMedicare ID - Type Unspecified
CAS84374Medicare UPIN