Reisner, Denise Mckenna

Reisner, Denise Mckenna is an individual health care provider with primary practice located at 900 W Faris Rd Fl 2 , Greenville SC 29605-4255. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Reisner, Denise Mckenna can be contacted via phone (864) 455-8898.

Contact Information

Primary practice address
900 W Faris Rd Fl 2 Greenville SC 29605-4255
Phone: (864) 455-8898
Fax: (864) 241-9237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2071 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2071 South Carolina

Profile Details

NPI number 1245332865
LBN Legal business name Reisner, Denise Mckenna
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2006
Last updated May 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245332865 NPPES
South Carolina MEDICAID APPROVED

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