Individual
VONDA REIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
301 S MIDDLETON ST, ROBBINS, NC 27325-8407
(910) 948-2059
(910) 948-2443
Mailing address
301 S MIDDLETON ST, ROBBINS, NC 27325-8407
(910) 948-2059
(910) 948-2443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201805
NC
363LF0000X
Family Nurse Practitioner
201805
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
201805
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080065783
RR MEDICARE-PITTSBORO
NC
01
—
080153048
RR MEDICARE-SANFORD
NC
01
—
31985
MEDCOST-PITTSBORO
NC
01
—
51232
MEDCOST-SANFORD
NC
01
—
84267
BCBS
NC
05
—
8984267
—
NC
Enumeration date
10/25/2006
Last updated
11/16/2023
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