MRS. SHANNON REAVIS ARNP FNP-C NPI 1073153029

NPI Information

NPI: 1073153029
Provider Name: MRS. SHANNON REAVIS, ARNP FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
21625 E 460 RD
CLAREMORE, OK
ZIP 74019
Phone: (918) 606-5702
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MRS. Shannon Reavis, ARNP FNP-C is a family nurse practitioner in Claremore, OK. MRS. Shannon Reavis, ARNP FNP-C NPI is 1073153029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21625 E 460 RD
CLAREMORE, OK
ZIP 74019-876
Phone: (918) 606-5702

The enumeration date for this NPI number is 1/7/2020 and was last updated on 1/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F04190051	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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