Provider Demographics
NPI:1255813341
Name:LINNEMEYER, RAINER (FNP-BC)
Entity type:Individual
Prefix:
First Name:RAINER
Middle Name:
Last Name:LINNEMEYER
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5906 GODDING HOLLOW PKWY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5432
Mailing Address - Country:US
Mailing Address - Phone:303-709-5675
Mailing Address - Fax:
Practice Address - Street 1:5906 GODDING HOLLOW PKWY
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80504-5432
Practice Address - Country:US
Practice Address - Phone:303-709-5675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994133-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily