| Doctor Name: | ELISABETH SPEED RHINEHART |
| NPI Number: | 1265612840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 6539 |
| Business Practice Address: | 55 Hatchetts Hill Rd Old Lyme, CT - 063711534 |
| Business Phone Number: | 8003703651 |
| Business Fax Number: | 8887884349 |
| Mailing Address: | 55 Hatchetts Hill Rd, OLD LYME |
| State: | CT |
| Postal Code: | 063711534 |
| Phone Number: | 8003703651 |
| Fax Number: | 8887884349 |
| NPI Enumeration Date: | 11/12/2007 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 6539 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |