Provider Demographics
NPI:1043768575
Name:RINEHULS, DON (REGISTER NURSE)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:
Last Name:RINEHULS
Suffix:
Gender:M
Credentials:REGISTER NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 ALLEN AVE
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14303-1908
Mailing Address - Country:US
Mailing Address - Phone:716-285-3421
Mailing Address - Fax:
Practice Address - Street 1:2470 ALLEN AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14303-1908
Practice Address - Country:US
Practice Address - Phone:716-285-3421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3765201163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)