Individual
MARY L BLAKE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4626 LEE AVE, SAINT LOUIS, MO 63115-2431
(314) 385-7726
Mailing address
5535 DELMAR BLVD, SAINT LOUIS, MO 63112-3005
(314) 879-6300
(314) 879-6372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
068911
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11646789
CAQH
MO
01
—
1710937073
NATIONAL PROVIDER IDENTIFIER
MO
05
—
427399902
—
MO
05
—
815032931
—
MO
Enumeration date
05/10/2006
Last updated
09/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us