Provider Demographics
NPI:1417387390
Name:RINALDI, JOSEPH (MSN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:RINALDI
Suffix:
Gender:M
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:RINALDI
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:MSN-FNP-C
Mailing Address - Street 1:1320 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RONCEVERTE
Mailing Address - State:WV
Mailing Address - Zip Code:24970-8016
Mailing Address - Country:US
Mailing Address - Phone:304-647-4411
Mailing Address - Fax:
Practice Address - Street 1:3738 DAVIS STUART RD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-9740
Practice Address - Country:US
Practice Address - Phone:304-793-2574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN95948NP363L00000X
VA0024174227363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA024174227Medicaid