Provider Demographics
NPI:1730823154
Name:REEVES, SVETLANA (IHSFS60990027)
Entity type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:REEVES
Suffix:
Gender:
Credentials:IHSFS60990027
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 N SULLIVAN RD STE 100-1010
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-5198
Mailing Address - Country:US
Mailing Address - Phone:509-304-8051
Mailing Address - Fax:509-271-1266
Practice Address - Street 1:2818 N SULLIVAN RD STE 110
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-5198
Practice Address - Country:US
Practice Address - Phone:509-304-8051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHM60808762374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide