Provider Demographics
NPI:1023582111
Name:REINHARDT, STEPHANI SUE (RN)
Entity type:Individual
Prefix:
First Name:STEPHANI
Middle Name:SUE
Last Name:REINHARDT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:STEPHANI
Other - Middle Name:SUE
Other - Last Name:SAUEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1004 KAREN DRIVE
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 SO. VISITING EAGLE ST
Practice Address - Street 2:
Practice Address - City:NIOBRARA
Practice Address - State:NE
Practice Address - Zip Code:68760
Practice Address - Country:US
Practice Address - Phone:402-857-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD-RNR025433163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse