Individual provider · Type 1 NPI

Craig Reavis

Licensed Practical Nurse · Fort Sill, OK

NPI number 1134578636 Active

Practice location

4301 Wilson St
Fort Sill, OK 73503-4472

Mailing address

113 NE Babbit St
Lawton, OK 73507-1423

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL 0053550 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1134578636

Craig Reavis's National Provider Identifier is 1134578636, issued on Jun 7, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Sill, OK. The record was last updated on Jun 7, 2016.