Provider Demographics
NPI:1447387337
Name:PRITCHETT, REBA RENEE' (RN)
Entity type:Individual
Prefix:MRS
First Name:REBA
Middle Name:RENEE'
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9852 HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:TN
Mailing Address - Zip Code:38225-1804
Mailing Address - Country:US
Mailing Address - Phone:731-364-2258
Mailing Address - Fax:731-364-5846
Practice Address - Street 1:9852 HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:TN
Practice Address - Zip Code:38225-1804
Practice Address - Country:US
Practice Address - Phone:731-364-2258
Practice Address - Fax:731-364-5846
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000110485163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse