Breanna Reyes

Individual provider Active NPI Community Health Worker · Tonopah, NV

NPI 1508295015 · NPPES record last updated Nov 5, 2013

Key facts

NPI
1508295015
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1137 S. Main St
Ste # E4
Tonopah, NV 89049-1311
Phone
(775) 482-3100
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

1137 S. Main St
Ste # E4
Tonopah, NV 89049-1311

Mailing address

PO Box 1311
Tonopah, NV 89049-1311
Phone (775) 482-3100

Other providers in Tonopah, NV

All providers in Tonopah, NV · Community Health Worker in Nevada

Sources for this page

Verify at the official NPI Registry.