Individual
MARYETTA ASHLEY REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 RIVERVIEW AVE STE 700, NORFOLK, VA 23510-1065
(757) 252-9365
(757) 962-7217
Mailing address
301 RIVERVIEW AVE STE 700, NORFOLK, VA 23510-1065
(757) 252-9365
(757) 962-7217
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0110008369
VA
363A00000X
Physician Assistant
Primary
0110008369
VA
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
0110008369
VA
Other
Enumeration date
04/01/2022
Last updated
07/13/2024
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