Provider Demographics
NPI:1184736894
Name:REISINGER, RENEE LYNN (MS CRNP)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:LYNN
Last Name:REISINGER
Suffix:
Gender:
Credentials:MS CRNP
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:LYNN
Other - Last Name:KAUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:330 N HOWARD ST.
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-576-1400
Mailing Address - Fax:410-576-7600
Practice Address - Street 1:510 CADMUS LN
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3857
Practice Address - Country:US
Practice Address - Phone:410-819-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR083132363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner