MEDICARE: MR. JOSUE B REYES ARNP

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	AP60079870	WA

General Provider Information

NPI Number	:	1649411729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSUE B REYES ARNP

Provider Business Mailing Address
First Line	:	56 N COLLEGE AVE UNIT 1
Second Line	:
City	:	COLLEGE PLACE
State	:	WA
Zip	:	99324-1048
Country	:	US
Telephone Number	:	509-240-9680
Fax Number	:	888-571-6379

Provider Business Practice Location Address
First Line	:	56 N COLLEGE AVE UNIT 1
Second Line	:
City	:	COLLEGE PLACE
State	:	WA
Zip	:	99324-1048
Country	:	US
Telephone Number	:	509-240-9680
Fax Number	:	888-571-6379

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

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	02/11/2026

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