Individual
MS. SUSAN T REECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024052945
VA
363LF0000X
Family Nurse Practitioner
0024052945
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024052945
NURSE PRACTITIONER
VA
Enumeration date
09/27/2006
Last updated
08/09/2007
Update your record
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