NPI | 1346873437 |
---|---|
Former Name | ANDREA NICOLE REEVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145116) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP145116) |
363L00000X Nurse Practitioner (Licence: TX AP145116) | |
Enumeration Date | 2020-02-17 |
Last Update Date | 2023-08-02 |