Reyna Avitia
Individual provider Active NPI Family Nurse Practitioner · Shepherd, TX
NPI 1477058634 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1477058634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP137091 (TX)
- Practice address
- 1231 Byrd
Shepherd, TX 77371 - Phone
- (936) 628-1694
- Fax
- (936) 628-3109
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP137091 | TX | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP137091 | TX | Yes |
Addresses
Primary practice location
1231 Byrd
Shepherd, TX 77371
Mailing address
1231 Byrd
Shepherd, TX 77371
Phone (936) 628-1694
Other providers in Shepherd, TX
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- Blessed Assurance Homehealth Care, Inc.
- Dendra Janelle Butler
- Betty J Charles
- Carrie Cronin
All providers in Shepherd, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.