Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 42243 | MN |
Y | 2080P0216X | Pediatric Rheumatologist | 20369 | NC |
NPI | 1437129491 |
---|---|
Provider Name | Ann M Reed |
First Address | Durham, NC 27710-0001 |
Second Address | Durham, NC 27710-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 23/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1437129491 | NPPES NUMBER (01) | NC |
500657100 | (05) | MN |
E57425 | (02) |