Provider Demographics
NPI:1760546626
Name:REESE, BARBARA F (MSN-FNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:F
Last Name:REESE
Suffix:
Gender:F
Credentials:MSN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 BLACK SNAG RD
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-9625
Mailing Address - Country:US
Mailing Address - Phone:707-321-0005
Mailing Address - Fax:
Practice Address - Street 1:2456 BUHNE ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3207
Practice Address - Country:US
Practice Address - Phone:707-445-3063
Practice Address - Fax:707-445-1143
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA431768163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse