Provider Demographics
NPI:1205814621
Name:RINEHART, JANET F (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:F
Last Name:RINEHART
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30046 N VARNUM RD
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-7065
Mailing Address - Country:US
Mailing Address - Phone:520-400-3184
Mailing Address - Fax:480-999-4374
Practice Address - Street 1:30046 N VARNUM RD
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85143
Practice Address - Country:US
Practice Address - Phone:520-400-3184
Practice Address - Fax:480-999-4374
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN127377363LA2200X
AZAP1916207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ879059Medicaid
AZ879059Medicaid
AZZ110787Medicare PIN