Basic Information
Provider Information
NPI: 1912323387
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REUTER
FirstName: MARIA
MiddleName: CHRISTINA
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 530 1ST AVE # 9N
Address2:  
City: NEW YORK
State: NY
PostalCode: 100166402
CountryCode: US
TelephoneNumber: 6465010119
FaxNumber:  
Practice Location
Address1: 530 1ST AVE # 9N
Address2:  
City: NEW YORK
State: NY
PostalCode: 100166402
CountryCode: US
TelephoneNumber: 6465010119
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/10/2014
LastUpdateDate: 06/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0200X657397NYN Nursing Service ProvidersRegistered NurseCritical Care Medicine
363LA2100X430885NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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