Provider Demographics
NPI:1710784400
Name:REEVES, MARILYN KAY
Entity type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:KAY
Last Name:REEVES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:K
Other - Last Name:BREWSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3706 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-9076
Mailing Address - Country:US
Mailing Address - Phone:402-992-9841
Mailing Address - Fax:
Practice Address - Street 1:3706 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-9076
Practice Address - Country:US
Practice Address - Phone:402-992-9841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant