Reske, Cara

Reske, Cara is an individual health care provider with primary practice located at 1792 Merritt Blvd , Dundalk MD 21222-3212. 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. Reske, Cara can be contacted via phone (410) 284-1133.

Contact Information

Primary practice address
1792 Merritt Blvd Dundalk MD 21222-3212
Phone: (410) 284-1133
Fax: (410) 284-3371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R202772 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R202772 Maryland

Profile Details

NPI number 1013395474
LBN Legal business name Reske, Cara
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated Jun 18th, 2020 - 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 1013395474 NPPES
Maryland MEDICAID 339517100

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