Provider Demographics
NPI:1417709809
Name:REEVES, TATIANA
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:REEVES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8331 S CONTINENTAL DIVIDE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4231
Mailing Address - Country:US
Mailing Address - Phone:303-973-3200
Mailing Address - Fax:
Practice Address - Street 1:8331 S CONTINENTAL DIVIDE RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4231
Practice Address - Country:US
Practice Address - Phone:303-973-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999532-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily