Individual
DAPHNE A REAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,ARNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
099340
MO
363LN0000X
Neonatal Nurse Practitioner
14-59889-082
KS
363LN0000X
Neonatal Nurse Practitioner
44420
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099340
MO LICENSE
MO
01
—
14-59889-082
KS LICENSE
KS
01
—
44420
KS ARNP
KS
Enumeration date
05/03/2006
Last updated
07/08/2007
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