Provider Demographics
NPI:1912189515
Name:REISCH, TONI ANNE (RN)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:ANNE
Last Name:REISCH
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 1:193 S DUPONT HWY
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:DE
Mailing Address - Zip Code:19934-1310
Mailing Address - Country:US
Mailing Address - Phone:302-697-8805
Mailing Address - Fax:302-697-8813
Practice Address - Street 1:193 S DUPONT HWY
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-1310
Practice Address - Country:US
Practice Address - Phone:302-697-8805
Practice Address - Fax:302-697-8813
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10019786163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool