Provider Demographics
NPI:1073266201
Name:REEVES, HANNA RUTH SPARKS (RN)
Entity type:Individual
Prefix:MRS
First Name:HANNA
Middle Name:RUTH SPARKS
Last Name:REEVES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:HANNA
Other - Middle Name:RUTH
Other - Last Name:SPARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2518 RAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3254
Mailing Address - Country:US
Mailing Address - Phone:615-869-8236
Mailing Address - Fax:
Practice Address - Street 1:2518 RAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3254
Practice Address - Country:US
Practice Address - Phone:615-869-8236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN193894163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse