Provider Demographics
NPI:1700015567
Name:REECE, DENISE LOUISE (RN)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:LOUISE
Last Name:REECE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 CALDWELL ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2019
Mailing Address - Country:US
Mailing Address - Phone:937-773-3902
Mailing Address - Fax:
Practice Address - Street 1:907 CALDWELL ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2019
Practice Address - Country:US
Practice Address - Phone:937-773-3902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350464163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2948878Medicaid
OH2554187Medicaid