Provider Demographics
NPI:1609285725
Name:REEVER, STEPHANIE (NP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:REEVER
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6465 GREENWOOD PLAZA BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-7101
Mailing Address - Country:US
Mailing Address - Phone:719-680-1581
Mailing Address - Fax:844-884-6536
Practice Address - Street 1:6465 GREENWOOD PLAZA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-7101
Practice Address - Country:US
Practice Address - Phone:719-680-1581
Practice Address - Fax:844-884-6536
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2020-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO991216363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology