Provider Demographics
NPI:1073624268
Name:REIBER-NAVA, EVON ANN
Entity Type:Individual
Prefix:
First Name:EVON
Middle Name:ANN
Last Name:REIBER-NAVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EVON
Other - Middle Name:ANN
Other - Last Name:REIBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:979 SPIRACLE AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-0970
Mailing Address - Country:US
Mailing Address - Phone:702-409-1187
Mailing Address - Fax:
Practice Address - Street 1:979 SPIRACLE AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-0970
Practice Address - Country:US
Practice Address - Phone:702-409-1187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No376J00000XNursing Service Related ProvidersHomemaker