Provider Demographics
NPI:1659338820
Name:REIGLE, CATHE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:CATHE
Middle Name:
Last Name:REIGLE
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 1:1476 COTSWOLD LN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-5190
Mailing Address - Country:US
Mailing Address - Phone:616-735-4892
Mailing Address - Fax:
Practice Address - Street 1:1476 COTSWOLD LN
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-5190
Practice Address - Country:US
Practice Address - Phone:616-735-4892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704211170363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3005819OtherKENTUCKY NURSE PRACTITIONER