Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI Number | 1851593594 |
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| LBN Legal business name | MELANIE A REAVES PLLC | ||||
| Authorized official | MELANIE REAVES - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/04/2007 | ||||
| Last updated | 12/22/2023 - About 2 years ago | ||||
| Identifiers |
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