Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 5004154 | NC |
N | 363LP0200X | Nurse Practitioner - Pediatrics | AP1290 | AZ |
N | 363LP0200X | Nurse Practitioner - Pediatrics | RN048722 | AZ |
NPI | 1003021080 |
---|---|
Provider Name | Valerie J Rinehammer |
First Address | Raleigh, NC 27609-7233 |
Second Address | Raleigh, NC 27610-1247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 14/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003021080 | (05) | NC |