Provider Demographics
NPI:1427407659
Name:REECE, ANDREA (LM, CPM)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:REECE
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17505 N COUNTY ROAD 225
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-4431
Mailing Address - Country:US
Mailing Address - Phone:228-623-6125
Mailing Address - Fax:352-485-1859
Practice Address - Street 1:17505 N COUNTY ROAD 225
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-4431
Practice Address - Country:US
Practice Address - Phone:228-623-6125
Practice Address - Fax:352-485-1859
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW332176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife