Provider Demographics
NPI:1497388169
Name:RINER, CHESSI DELAINE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:CHESSI
Middle Name:DELAINE
Last Name:RINER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SW 1ST AVE APT 2201
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3493
Mailing Address - Country:US
Mailing Address - Phone:423-742-0116
Mailing Address - Fax:
Practice Address - Street 1:400 SW 1ST AVE APT 2201
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3493
Practice Address - Country:US
Practice Address - Phone:423-742-0116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006240363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner