Provider Demographics
NPI:1710167853
Name:REINER, GAIL ELLEN (FNP)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:ELLEN
Last Name:REINER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:ELLEN
Other - Last Name:HANSCOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 232410
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92193-2410
Mailing Address - Country:US
Mailing Address - Phone:800-926-8273
Mailing Address - Fax:888-539-8781
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9000
Practice Address - Country:US
Practice Address - Phone:619-471-9073
Practice Address - Fax:619-471-9570
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13630363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily