Provider Demographics
NPI:1619735248
Name:RAINER LINNEMEYER PLLC
Entity Type:Organization
Organization Name:RAINER LINNEMEYER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAINER
Authorized Official - Middle Name:
Authorized Official - Last Name:LINNEMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:303-709-5675
Mailing Address - Street 1:5906 GODDING HOLLOW PKWY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5432
Mailing Address - Country:US
Mailing Address - Phone:303-709-5675
Mailing Address - Fax:
Practice Address - Street 1:5906 GODDING HOLLOW PKWY
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80504-5432
Practice Address - Country:US
Practice Address - Phone:303-709-5675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty