Provider Demographics
NPI:1730713819
Name:REINEKE, SABRINA KALANI (APRN)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:KALANI
Last Name:REINEKE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:KALANI
Other - Last Name:STRAIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-3810
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1020 MCINTOSH CIR STE 102
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3696
Practice Address - Country:US
Practice Address - Phone:417-781-6845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020007036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily