Catherine W Reavis, FNP Valid NPI
Individual provider · Nurse Practitioner · Lyons, GA
- NPI
- 1750374336
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- AP108269 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-08-29
- Last updated
- 2014-06-25
Practice location
110 R T Stanley Sr Pl
Lyons, GA 30436
(912) 526-9355