Individual
ALICIA M. REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
8444 W 21ST ST N, WICHITA, KS 67205-1752
(316) 721-9500
Mailing address
8444 W 21ST ST N, WICHITA, KS 67205-1752
(316) 721-9500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
53-76949-061
KS
363L00000X
Nurse Practitioner
Primary
76949
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719414
MEDICARE
KS
Enumeration date
09/18/2015
Last updated
10/29/2015
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