Individual provider · Type 1 NPI
Reena Vijayamma Raveendran
Gerontology Nurse Practitioner · Orlando, FL
NPI number
1679469936
Active
Practice location
3354 Puxton Dr
Orlando, FL 32824
Fax (407) 577-7314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11040001 (FL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1679469936
Reena Vijayamma Raveendran's National Provider Identifier is 1679469936, issued on Jun 14, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Orlando, FL. The record was last updated on Jun 14, 2025.