Catherine W Reavis in Lyons - Nurse Practitioner
Catherine W Reavis - NPI 1750374336
Catherine W Reavis is a Nurse Practitioner in Lyons, Georgia. Catherine W Reavis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Catherine W Reavis is 1750374336. The last update date is 2014-06-25.
Catherine W Reavis's current location address is 110 R T Stanley Sr Pl, Lyons, Georgia. You can contact this provider via phone number 9125269355 and fax number 9125264783. The mailing address for Catherine W Reavis is 110 R T Stanley Sr Pl, Lyons, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Catherine W Reavis |
|---|---|
| Address | 110 R T Stanley Sr Pl, Lyons, Georgia |
| Phone Number | 9125269355 |
| Fax Number | 9125264783 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1750374336 |
|---|---|
| Provider Enumeration Date | 2005-08-29 |
| Last Updated Date | 2014-06-25 |
Provider Mailing Address Detail
| Address | 110 R T Stanley Sr Pl |
|---|---|
| City | Lyons |
| State | Georgia (GA) |
| Post Code | 30436 |
| Phone Number | 9125269355 |
| Fax Number | 9125264783 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN155029 NP |
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Definition: (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 certifi |
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What is the unique 10-digit identification code assigned to Catherine W Reavis by the Centers for Medicare & Medicaid Services?
The Catherine W Reavis has been issued the NPI (National Provider Identifier) 1750374336, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Catherine W Reavis's facilities are geographically located?
The facilities of Catherine W Reavis are physically situated at the following location: 110 R T Stanley Sr Pl, Lyons, GA, 30436.
What is Catherine W Reavis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Catherine W Reavis is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Catherine W Reavis receive the assignment of its 1750374336 from the Centers for Medicare & Medicaid Services?
The Catherine W Reavis was issued its 1750374336 by the Centers for Medicare & Medicaid Services on 2005-08-29.
As of what date were the Catherine W Reavis's details last updated?
The information pertaining to the Catherine W Reavis, including its address, specialty, and other details, was most recently updated on 2014-06-25.