Provider Demographics
NPI:1508908450
Name:REECE, EMILY A (ANP-C)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:A
Last Name:REECE
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 ELM ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3762
Mailing Address - Country:US
Mailing Address - Phone:972-420-7450
Mailing Address - Fax:972-420-7458
Practice Address - Street 1:475 W ELM ST
Practice Address - Street 2:SUITE 203
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3762
Practice Address - Country:US
Practice Address - Phone:972-420-7450
Practice Address - Fax:972-420-7458
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673503363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673503OtherNURSING LICENSE
U69256Medicare UPIN