Individual provider · Type 1 NPI
Bradley Earl Reger, FNP
Family Nurse Practitioner · Susanville, CA
NPI number
1669694683
Active
Practice location
700 Ash St
Susanville, CA 96130-3716
Mailing address
PO Box 711
Susanville, CA 96130-0711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 352328 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669694683
Bradley Earl Reger, FNP's National Provider Identifier is 1669694683, issued on May 2, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Susanville, CA. The record was last updated on Jul 8, 2007.