Provider Demographics
NPI:1265820021
Name:REINERSMAN, CHELSEA COUCH (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:COUCH
Last Name:REINERSMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:AMANDA
Other - Last Name:COUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1800 PARIS DR
Mailing Address - Street 2:
Mailing Address - City:GODFREY
Mailing Address - State:IL
Mailing Address - Zip Code:62035-1653
Mailing Address - Country:US
Mailing Address - Phone:870-930-4599
Mailing Address - Fax:
Practice Address - Street 1:1 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-6722
Practice Address - Country:US
Practice Address - Phone:618-463-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.401130367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered