Avia Latrelle Reaves, FNP-BC
Nurse Practitioner, Family in Columbia, SC. Individual provider (NPI-1).
NPI number1164076733
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1164076733
- Entity type
- Individual (NPI-1)
- Name
- Avia Latrelle Reaves
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2019
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 23110 | SC | Yes |
Practice location
1301 Taylor St Ste 8aColumbia, SC 29201
Phone 803-929-2955
Mailing address
1301 Taylor St Ste 8aColumbia, SC 29201-2955
Phone 803-929-2955
Other practice locations
5 Medical Park Road
Columbia, SC 29203
Columbia, SC 29203
Phone 803-434-7500
5 Medical Park Road
Columbia, SC 29203
Columbia, SC 29203
Phone 803-434-7500
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