| Doctor Name: | MS. REBECCA LYNNE REIDY |
| NPI Number: | 1063639003 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | AP30007644 |
| Business Practice Address: | 626 N Mullan Rd Ste 16 Spokane Valley, WA - 992063858 |
| Business Phone Number: | 5099288585 |
| Business Fax Number: | 5099282934 |
| Mailing Address: | Po Box 2808, SPOKANE |
| State: | WA |
| Postal Code: | 99220 |
| Phone Number: | 5096886702 |
| Fax Number: | 5096886792 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP30007644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |