Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN.389965 | OH |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 019570 | OH |
NPI | 1073058442 |
---|---|
Provider Name | Margo Reed |
First Address | Cincinnati, OH 45263-3448 |
Second Address | Cincinnati, OH 45220-2475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2016 |
Last Update Date | 24/04/2018 |