Basic Information
Provider Information
NPI: 1841622842
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RINEHART
FirstName: MOLLY
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5815 BROADWAY AVE
Address2:  
City: GREAT BEND
State: KS
PostalCode: 675303123
CountryCode: US
TelephoneNumber: 6207922544
FaxNumber: 6207927052
Practice Location
Address1: 2101 N WALDRON ST
Address2:  
City: HUTCHINSON
State: KS
PostalCode: 675021197
CountryCode: US
TelephoneNumber: 6206692500
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/01/2013
LastUpdateDate: 10/03/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X76127KSN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LP2300X76127KSN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
363L00000X53-76127KSY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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