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NPI Code Detail

MEDICARE: MRS. GINA REEVES RN

MEDICARE: MRS. GINA REEVES RN
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
1163W00000XRegistered Nurse464895OH

Other Identifiers

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

General Provider Information

NPI Number : 1972889202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINA REEVES RN
Provider Business Mailing Address
First Line : 2510 QUEEN CITY AVE APT 11
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-2915
Country : US
Telephone Number : 513-835-9152
Fax Number :
Provider Business Practice Location Address
First Line : 2510 QUEEN CITY AVE APT 11
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-2915
Country : US
Telephone Number : 513-835-9152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2011
Last Update Date : 11/10/2019

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Directions to “ MRS. GINA REEVES RN” Practice Location

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