Provider Demographics
NPI:1447800685
Name:REESE, ALYSHA (ARNP)
Entity type:Individual
Prefix:
First Name:ALYSHA
Middle Name:
Last Name:REESE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ALYSHA
Other - Middle Name:
Other - Last Name:HARTL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 BAINBERRY ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:IA
Mailing Address - Zip Code:52340-4743
Mailing Address - Country:US
Mailing Address - Phone:319-310-5515
Mailing Address - Fax:
Practice Address - Street 1:855 A AVE NE STE 120
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5062
Practice Address - Country:US
Practice Address - Phone:319-297-9350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA156354363LF0000X, 363LX0001X, 363LP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP1700XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPerinatal
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology