IndividualActive
Matthew Reavis, RN
NPI 1295175115 · Registered Nurse First Assistant · Springfield, IL
Provider details
- NPI number
- 1295175115
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 041.299217 (IL)
Practice location
1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone: (217) 547-9100
Fax: (217) 547-9236
Mailing address
1301 S Koke Mill Rd
Springfield, IL 62711-9252
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2020-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.