Provider Demographics
NPI:1437451135
Name:REEVES, SHAWN MICHAEL (RN, MSN, ACPNP)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:MICHAEL
Last Name:REEVES
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Gender:M
Credentials:RN, MSN, ACPNP
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Mailing Address - Street 1:5219 CITY BANK PKWY STE 35
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3545
Mailing Address - Country:US
Mailing Address - Phone:806-761-0333
Mailing Address - Fax:806-782-0097
Practice Address - Street 1:602 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-3364
Practice Address - Country:US
Practice Address - Phone:806-775-8813
Practice Address - Fax:806-775-9182
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2021-12-03
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Provider Licenses
StateLicense IDTaxonomies
TX706203163WP0200X
TXAP119749363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WP0200XNursing Service ProvidersRegistered NursePediatrics