Healthcare Provider Details

I. General information

NPI: 1700239050
Provider Name (Legal Business Name): HANNAH REAMES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH CAVE

II. Dates (important events)

Enumeration Date: 07/21/2016
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 W 6TH AVE # B
STILLWATER OK
74074-4204
US

IV. Provider business mailing address

1909 W 6TH AVE # B
STILLWATER OK
74074-4204
US

V. Phone/Fax

Practice location:
  • Phone: 405-385-0029
  • Fax:
Mailing address:
  • Phone: 405-385-0029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number77286
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number226786
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1215090
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: