Provider Demographics
NPI:1831110089
Name:RINALDO, ANDREA (ARNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:RINALDO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:ABBRUZZESE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1001 S OHIO ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-5364
Mailing Address - Country:US
Mailing Address - Phone:785-827-6453
Mailing Address - Fax:785-823-1255
Practice Address - Street 1:1001 S OHIO ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-5364
Practice Address - Country:US
Practice Address - Phone:785-827-6453
Practice Address - Fax:785-823-1255
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1748232363L00000X
KS5376248363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201090100AMedicaid
KS201090100AMedicaid
Q55984Medicare UPIN
FL307190100Medicaid