Individual
MRS. BEVERLY REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
569 HOMECOMING WAY, POLK CITY, FL 33868-5151
(757) 647-0526
Mailing address
569 HOMECOMING WAY, POLK CITY, FL 33868-5151
(757) 647-0526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001061507
VA
163W00000X
Registered Nurse
Primary
RN 9380727
FL
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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