Reva Rasband (NPI# 1790013423, PAC ID# 3577712405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790013423 |
| PAC ID by PECOS | 3577712405 |
| Professional Enrollment ID | I20121009000304 |
| Full Name | Reva Rasband |
| Address |
1575 W Iron Horse Blvd Bluffdale UT 84065-5175 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460023 | AMERICAN FORK HOSPITAL |
| 460052 | TIMPANOGOS REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1575 W Iron Horse Blvd, Bluffdale, UT 84065-5175 |
| Street Address |
1575 W IRON HORSE BLVD |
| City | BLUFFDALE |
| State | UT |
| Zip | 84065-5175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia B Pinkerman | Nurse Practitioner | 14097 S Light Cahill Cv, Bluffdale, UT 84065-2138 | |
| David L Wetzel | Physical Therapy | 12403 S Doreen Dr, Riverton, UT 84065-4360 | |
| Maria Antonia Oneida | Family Medicine | Riverton Family Health Center LLC | 1756 Park Ave, Riverton, UT 84065-4701 |
| Don P Allred | Family Medicine | Riverton Family Health Center LLC | 1756 Park Ave, Riverton, UT 84065-4701 |
| Ernest C Severn | Family Medicine | Riverton Family Health Center LLC | 1756 Park Ave, Riverton, UT 84065-4701 |
| Rebecca M Jenson | Nurse Practitioner | Riverton Family Health Center LLC | 1756 Park Ave, Riverton, UT 84065-4701 |
| Jason J Tye | Nurse Practitioner | Riverton Family Health Center LLC | 1756 Park Ave, Riverton, UT 84065-4701 |
| Michael P Ryan | Physician Assistant | Riverton Family Health Center LLC | 1756 Park Ave, Riverton, UT 84065-4701 |
| Daniel O Thompson | Family Medicine | Riverton Family Health Center LLC | 1756 Park Ave, Riverton, UT 84065-4701 |
| Robin Adair Mountford | Physician Assistant | Riverton Family Health Center LLC | 1756 Park Ave, Riverton, UT 84065-4701 |
| Find all physicians in zip 84065 | |||
| City | BLUFFDALE |
| Zip Code | 84065 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLUFFDALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Reva Rasband.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.