Provider Demographics
NPI:1851548952
Name:REEVES, MARJORIE RUTH (APRN, MSN, PHHNP-BC)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:RUTH
Last Name:REEVES
Suffix:
Gender:F
Credentials:APRN, MSN, PHHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-429-5188
Mailing Address - Fax:859-301-5940
Practice Address - Street 1:820 DOLWICK DRIVE
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018
Practice Address - Country:US
Practice Address - Phone:859-429-5188
Practice Address - Fax:859-301-5940
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH297443163WH0200X
KY3013030363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner