Evelyn Reid
Individual provider Active NPI Driver · Ivor, VA
NPI 1952827909 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1952827909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 7316 Holloman Dr
Ivor, VA 23866 - NPI assigned
- Aug 21, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
7316 Holloman Dr
Ivor, VA 23866
Mailing address
PO Box 282
Ivor, VA 23866-0282
Phone (480) 580-4434
Other practice location 1
7316 Holloman Dr
Ivor, VA 23866
Phone (480) 580-4434
Other providers in Ivor, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 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.