Provider Demographics
NPI:1477609717
Name:REINHARD, AMY EILEEN (NP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:EILEEN
Last Name:REINHARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:647 GAINESWAY CIRCLE RD
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-8901
Mailing Address - Country:US
Mailing Address - Phone:219-477-5350
Mailing Address - Fax:
Practice Address - Street 1:200 S MERIDIAN ST STE 400
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46225-1076
Practice Address - Country:US
Practice Address - Phone:317-637-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001199A163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory