Provider Demographics
NPI:1588956809
Name:REEVES, TASHIKA BESWICK (CRNP)
Entity type:Individual
Prefix:MRS
First Name:TASHIKA
Middle Name:BESWICK
Last Name:REEVES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:240 MIDDLETOWN BLVD
Mailing Address - Street 2:2ND FL STE 205
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1904
Mailing Address - Country:US
Mailing Address - Phone:215-752-2424
Mailing Address - Fax:215-750-0656
Practice Address - Street 1:240 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1904
Practice Address - Country:US
Practice Address - Phone:215-752-2424
Practice Address - Fax:215-750-0656
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP011359363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health