Healthcare Provider Details

I. General information

NPI: 1568089084
Provider Name (Legal Business Name): BRIAN ROBERT REECE MSN, APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 W MOANA LN
RENO NV
89509-4903
US

IV. Provider business mailing address

640 W MOANA LN
RENO NV
89509-4903
US

V. Phone/Fax

Practice location:
  • Phone: 775-324-0699
  • Fax: 775-323-6814
Mailing address:
  • Phone: 775-324-0699
  • Fax: 775-323-6814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number832206
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: