Provider Demographics
NPI:1568440212
Name:REINECK, JOY C (CNM)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:C
Last Name:REINECK
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1701 W CHARLESTON BLVD
Mailing Address - Street 2:#215
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2325
Mailing Address - Country:US
Mailing Address - Phone:702-671-2395
Mailing Address - Fax:702-382-5388
Practice Address - Street 1:2231 W CHARLESTON BLVD
Practice Address - Street 2:2ND FLR, UNIVERSITY WOMEN'S CENTER CLINIC
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2254
Practice Address - Country:US
Practice Address - Phone:702-383-2403
Practice Address - Fax:702-671-2333
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVAPN000738367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCS12063OtherPHARMACY/CDS
NVMR0358831OtherDEA
NVMR0358831OtherDEA
NVWQBHV37893Medicare ID - Type Unspecified