Provider Demographics
NPI:1689801466
Name:REEVES, BETH ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:REEVES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:514 NW BELLWORTH PL
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-3517
Mailing Address - Country:US
Mailing Address - Phone:772-334-0701
Mailing Address - Fax:772-334-0702
Practice Address - Street 1:4001 NE SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-3805
Practice Address - Country:US
Practice Address - Phone:772-334-0701
Practice Address - Fax:772-334-0702
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN3360052163WP0807X
FLRN33600052163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent