Provider Demographics
NPI:1508692823
Name:REEP, TARYN DAWN (FNP-C)
Entity type:Individual
Prefix:MISS
First Name:TARYN
Middle Name:DAWN
Last Name:REEP
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 COMMERCE ST SW
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-8249
Mailing Address - Country:US
Mailing Address - Phone:828-326-2855
Mailing Address - Fax:
Practice Address - Street 1:1224 COMMERCE ST SW
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-8249
Practice Address - Country:US
Practice Address - Phone:828-326-2855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5021454363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily