Provider Demographics
NPI:1689447864
Name:RIENSCHE, ALEXIS (RN)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:RIENSCHE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 HUNT AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-2648
Mailing Address - Country:US
Mailing Address - Phone:509-308-9382
Mailing Address - Fax:
Practice Address - Street 1:3121 W 19TH AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-2316
Practice Address - Country:US
Practice Address - Phone:509-222-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61178956163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse