Basic Information
Provider Information
NPI: 1326076779
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REINHART
FirstName: TONI
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6465 WAYZATA BLVD
Address2: STE 315
City: ST LOUIS PARK
State: MN
PostalCode: 554261728
CountryCode: US
TelephoneNumber: 9529937169
FaxNumber: 9529930300
Practice Location
Address1: 6500 EXCELSIOR BLVD
Address2: ANESTHESIOLOGY DEPARTMENT
City: ST LOUIS PARK
State: MN
PostalCode: 554264702
CountryCode: US
TelephoneNumber: 9529937169
FaxNumber: 9529930300
Other Information
ProviderEnumerationDate: 06/28/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XR1484256MNY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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