Provider Demographics
NPI:1205251535
Name:RIFFEY, RENEE
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:RIFFEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 CENTER POINT RD NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5569
Mailing Address - Country:US
Mailing Address - Phone:319-826-6608
Mailing Address - Fax:
Practice Address - Street 1:3525 CENTER POINT RD NE
Practice Address - Street 2:SUITE D
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5569
Practice Address - Country:US
Practice Address - Phone:319-826-6608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
No372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider