Provider Demographics
NPI:1417225640
Name:REEVES-HOCHE, MARY KATHRYN (PHD, CRNP, ANP-BC)
Entity Type:Individual
Prefix:
First Name:MARY KATHRYN
Middle Name:
Last Name:REEVES-HOCHE
Suffix:
Gender:F
Credentials:PHD, CRNP, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:BUCK HILLS FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:18323-0447
Mailing Address - Country:US
Mailing Address - Phone:570-957-5023
Mailing Address - Fax:570-957-4617
Practice Address - Street 1:1 DISCOVERY DRIVE
Practice Address - Street 2:860, ROOM 339
Practice Address - City:SWIFTWATER
Practice Address - State:PA
Practice Address - Zip Code:19323-0187
Practice Address - Country:US
Practice Address - Phone:570-957-5023
Practice Address - Fax:570-957-4617
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP011454363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health