Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 9266985 | FL |
NPI | 1013160308 |
---|---|
Provider Name | Stephanie Reittinger |
First Address | San Diego, CA 92123-4411 |
Second Address | Chula Vista, CA 91911-1349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2008 |
Last Update Date | 06/03/2018 |