Individual provider · Type 1 NPI
Charles Howard Reisdorf, NP-C
Nurse Practitioner · Howell, MI
Practice location
3075 E Grand River Ave Ste 112
Howell, MI 48843-6585
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704278150 (MI) |
| Health Educator | 174H00000X | 21310526 |
| Nurse Practitioner Primary | 363L00000X | 4704278150 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1922305929
Charles Howard Reisdorf, NP-C's National Provider Identifier is 1922305929, issued on Feb 28, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Howell, MI. The record was last updated on Jan 23, 2026.