Reva L Heron (NPI# 1184794315, PAC ID# 4284657305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1184794315 |
| PAC ID by PECOS | 4284657305 |
| Professional Enrollment ID | I20070919000459 |
| Full Name | Reva L Heron |
| Address |
1475 Central Ave Suite 210 Los Alamos NM 87544-4207 |
| Phone Number | 5054902381 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1475 Central Ave, Suite 210, Los Alamos, NM 87544-4207 | 5054902381 |
| Street Address |
1475 CENTRAL AVE SUITE 210 |
| City | LOS ALAMOS |
| State | NM |
| Zip | 87544-4207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley C Pruett | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 5600 Quemazon, Los Alamos, NM 87544-1765 |
| Jeffrey M Sauer | Podiatry | 3917 W Rd, Suite 135, Los Alamos, NM 87544-1776 | |
| Nicolle L Gonzales | Certified Nurse Midwife | Bridge Care for Women LLC | 3500 Trinity Dr, Los Alamos, NM 87544-2221 |
| Tom S. Steward | Clinical Social Worker | 3250 Trinity Dr, Suite B3, Los Alamos, NM 87544-2226 | |
| Christopher A Gutierrez | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Indra Prasad R Peram | Family Medicine | Apogee Medical Group New Mexico Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Eric M Ketcham | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Michael J Marvinny | Hospitalist | Apogee Medical Group New Mexico Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Josiah H Child | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Miguel Dozier | Emergency Medicine | Los Alamos Emergency Medical Associates Inc | 3917 W Rd, Los Alamos, NM 87544-2275 |
| Find all physicians in zip 87544 | |||
| City | LOS ALAMOS |
| Zip Code | 87544 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | LOS ALAMOS + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Reva L Heron.
| 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.