| NPI | 1790952877 |
|---|---|
| Former Name | NICOLE LEANNE REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2019020211) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-78906-101) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1011816) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024172033) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP128012) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-04-25 |