Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 11003295 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | 2007001906 | OH |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 3005212 | KY |
NPI | 1023201902 |
---|---|
Provider Name | Katherine E Flannery Reeves |
First Address | Tarpon Springs, FL 34689-3662 |
Second Address | Tamarac, FL 33321-6424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2007 |
Last Update Date | 19/03/2020 |