Individual
MS. LAURA S REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 W DUE WEST AVE, MADISON, TN 37115-4511
(615) 673-6737
Mailing address
73 WHITE BRIDGE RD # 103-243, NASHVILLE, TN 37205-1444
(615) 673-6737
(615) 296-4567
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN 5635
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3344277
—
TN
Enumeration date
06/26/2006
Last updated
05/01/2018
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