Individual
MATTHEW P REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3616 S I 10 SERVICE RD W STE 100, METAIRIE, LA 70001-1884
(504) 838-5257
Mailing address
2637 EDENBORN AVE STE 302, METAIRIE, LA 70002-7042
(504) 579-3811
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
149101
LA
171M00000X
Case Manager/Care Coordinator
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
226873
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2601091
—
LA
Enumeration date
09/29/2015
Last updated
08/16/2024
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