Provider Demographics
NPI:1366843898
Name:REASONER, NADINE ANN
Entity Type:Individual
Prefix:MRS
First Name:NADINE
Middle Name:ANN
Last Name:REASONER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25322 WENTWORTH WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-7262
Mailing Address - Country:US
Mailing Address - Phone:210-912-7949
Mailing Address - Fax:830-980-1845
Practice Address - Street 1:25322 WENTWORTH WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-7262
Practice Address - Country:US
Practice Address - Phone:210-912-7949
Practice Address - Fax:830-980-1845
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care