Provider Demographics
NPI:1952620833
Name:REEVES, INGUNA (RN MSN ACNP-BC)
Entity Type:Individual
Prefix:
First Name:INGUNA
Middle Name:
Last Name:REEVES
Suffix:
Gender:F
Credentials:RN MSN ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 MACARTHUR BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2554
Mailing Address - Country:US
Mailing Address - Phone:949-736-6102
Mailing Address - Fax:949-736-6197
Practice Address - Street 1:4041 MACARTHUR BLVD STE 400
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2554
Practice Address - Country:US
Practice Address - Phone:949-736-6102
Practice Address - Fax:949-736-6197
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA634970363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care