Individual provider · Type 1 NPI
Mary L. Blake Reeves
Nurse Practitioner · St. Louis, MO
Practice location
4626 Lee Ave
St. Louis, MO 63115-2431
Mailing address
5535 Delmar Blvd
St. Louis, MO 63112-3005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 068911 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1710937073
Mary L. Blake Reeves's National Provider Identifier is 1710937073, issued on May 10, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 19, 2011.