Individual
MARK S REEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, PMHCNS-BC
Contact information
Practice address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 464-6995
Mailing address
601 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2052
(765) 464-6995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28124380
IN
364S00000X
Clinical Nurse Specialist
Primary
70000144
IN
Other
Enumeration date
08/30/2006
Last updated
11/29/2023
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