Individual
MERRILYN R REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
101 HAYNES LN, PLUMMER, ID 83851-9618
(208) 686-1041
Mailing address
101 HAYNES LN, PLUMMER, ID 83851-9618
(208) 686-1041
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-13
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477727998
—
ID
Enumeration date
04/15/2008
Last updated
02/10/2013
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