Healthcare Provider Details

I. General information

NPI: 1689417529
Provider Name (Legal Business Name): ARRON REUVERS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 SW 160TH AVE
MIRAMAR FL
33027-6308
US

IV. Provider business mailing address

1092 WHITNEY DR
APPLE VALLEY MN
55124-9142
US

V. Phone/Fax

Practice location:
  • Phone: 305-866-7123
  • Fax:
Mailing address:
  • Phone: 507-330-4755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11739
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2377155
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: