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NPI Code Detail

MEDICARE: JOSEPH WAYNE REIS APNP

MEDICARE: JOSEPH WAYNE REIS APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerVP003048CPA
2363LA2200XAdult Health Nurse Practitioner67233WV
3363LP0808XPsychiatric/Mental Health Nurse PractitionerVP003048CPA
4363LP0808XPsychiatric/Mental Health Nurse Practitioner67233WV
5363L00000XNurse Practitioner3850WI
6363LP0808XPsychiatric/Mental Health Nurse Practitioner3850WI
7364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistAP30006444WA

General Provider Information

NPI Number : 1376583674
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH WAYNE REIS APNP
Provider Business Mailing Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-457-0431
Fax Number : 360-565-3905
Provider Business Practice Location Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-457-0431
Fax Number : 360-565-3905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 03/22/2017

Similar Medicare Providers

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118 E 8TH ST
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1720519176 — MARK J GASKILL MFT
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1477911030 — MARISSA MCKNIGHT LMHC, NCC
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1942270459 — JENNIFER RUTH TREFONAS LMHC
Practice Location Address:
118 E 8TH ST
PORT ANGELES, WA
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Practice Fax: 360-457-0493
1225005119 — JEROME H REMICK
Practice Location Address:
118 E 8TH ST
PORT ANGELES, WA
98362-6129
Practice Phone: 360-457-0431
Practice Fax: 360-457-0493
1871553628 — MS. TRICIA ANN VAIL LICSW
Practice Location Address:
118 E 8TH ST
PORT ANGELES, WA
98362-6129
Practice Phone: 360-457-0431
Practice Fax: 360-457-0493

Directions to “ JOSEPH WAYNE REIS APNP” Practice Location

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