Provider Demographics
NPI:1003366014
Name:RINELLA IV, FRANK ANDREW IV (NRP)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ANDREW
Last Name:RINELLA IV
Suffix:IV
Gender:M
Credentials:NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 SOUTHSIDE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:COCOLALLA
Mailing Address - State:ID
Mailing Address - Zip Code:83813-6005
Mailing Address - Country:US
Mailing Address - Phone:208-715-5038
Mailing Address - Fax:
Practice Address - Street 1:6658 COMANCHE ST
Practice Address - Street 2:
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805-7523
Practice Address - Country:US
Practice Address - Phone:208-946-8832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID29842146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic