Provider Demographics
NPI:1043035702
Name:REEVES, ADRIANNE (CNA)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:REEVES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 PARKS LN
Mailing Address - Street 2:
Mailing Address - City:GAY
Mailing Address - State:GA
Mailing Address - Zip Code:30218-1426
Mailing Address - Country:US
Mailing Address - Phone:706-977-4907
Mailing Address - Fax:
Practice Address - Street 1:75 PARKS LN
Practice Address - Street 2:
Practice Address - City:GAY
Practice Address - State:GA
Practice Address - Zip Code:30218-1426
Practice Address - Country:US
Practice Address - Phone:706-977-4907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide