MEDICARE: KAREN A REESE MSN RN FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	529920	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558335059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN A REESE MSN RN FNP-BC

Provider Business Mailing Address
First Line	:	3402 OCEAN DR
Second Line	:	14
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-1405
Country	:	US
Telephone Number	:	361-947-4174
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 N CARANCAHUA ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78401-2760
Country	:	US
Telephone Number	:	361-887-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	08/30/2022

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