Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | AP1916 | AZ |
N | 363LA2200X | Nurse Practitioner - Adult Health | RN127377 | AZ |
NPI | 1205814621 |
---|---|
Provider Name | Janet F Rinehart |
First Address | San Tan Valley, AZ 85143-7065 |
Second Address | San Tan Valley, AZ 85143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 25/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
879059 | (05) | AZ |
Q21523 | (02) | AZ |