Provider Demographics
NPI:1679617690
Name:REEVES, ELIZABETH BRADFORD (FNP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:BRADFORD
Last Name:REEVES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:460 LYNN COVE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1917
Mailing Address - Country:US
Mailing Address - Phone:828-254-9431
Mailing Address - Fax:
Practice Address - Street 1:155 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4351
Practice Address - Country:US
Practice Address - Phone:828-259-5339
Practice Address - Fax:828-259-5316
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200972363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily