Provider Demographics
NPI:1184129256
Name:REEGER, LAURA JEANETTE (ARNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:JEANETTE
Last Name:REEGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29605 US HIGHWAY 19 N STE 170
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-1538
Mailing Address - Country:US
Mailing Address - Phone:727-771-8661
Mailing Address - Fax:727-771-8604
Practice Address - Street 1:29605 US HIGHWAY 19 N STE 170
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-1538
Practice Address - Country:US
Practice Address - Phone:727-771-8661
Practice Address - Fax:727-771-8604
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9265904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily