Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 21913 | NC |
NPI | 1033387162 |
---|---|
Provider Name | Mrs. Cindy Lea Reed |
First Address | Granite Falls, NC 28630-1770 |
Second Address | Granite Falls, NC 28630-1770 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2008 |
Last Update Date | 11/02/2008 |