Provider Demographics
NPI:1851403117
Name:RN ENTERPRISES LTD
Entity Type:Organization
Organization Name:RN ENTERPRISES LTD
Other - Org Name:UNDERNEATH IT ALL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:RIECKENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:952-937-9252
Mailing Address - Street 1:7942 MITCHELL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-2228
Mailing Address - Country:US
Mailing Address - Phone:952-937-9252
Mailing Address - Fax:952-937-2065
Practice Address - Street 1:7942 MITCHELL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-2228
Practice Address - Country:US
Practice Address - Phone:952-937-9252
Practice Address - Fax:952-937-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN15G88RNOtherBLUE CROSS BLUE SHIELD
MN762022500Medicaid
MN8200178OtherMEDICA
MN762022500Medicaid