Provider Demographics
NPI:1295508489
Name:REIDHAMMER, ZENALA FAITH (APRN, FNP-C)
Entity type:Individual
Prefix:MISS
First Name:ZENALA
Middle Name:FAITH
Last Name:REIDHAMMER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:MISS
Other - First Name:ZENALA
Other - Middle Name:FAITH
Other - Last Name:REIDHAMMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:706 W CAVOUR AVE
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-1805
Mailing Address - Country:US
Mailing Address - Phone:218-770-5244
Mailing Address - Fax:
Practice Address - Street 1:706 W CAVOUR AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-1805
Practice Address - Country:US
Practice Address - Phone:218-770-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR42479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily