Provider Demographics
NPI:1316504012
Name:REECE, MALINDA KAYE (APRN)
Entity type:Individual
Prefix:
First Name:MALINDA
Middle Name:KAYE
Last Name:REECE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15909 STONEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-7628
Mailing Address - Country:US
Mailing Address - Phone:405-237-5609
Mailing Address - Fax:405-445-6409
Practice Address - Street 1:15909 STONEVIEW DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-7628
Practice Address - Country:US
Practice Address - Phone:405-237-5607
Practice Address - Fax:405-445-6409
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK82902363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology