Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 0000181 | CO |
N | 363L00000X | Nurse Practitioner | 111014 | NE |
NPI | 1003067448 |
---|---|
Provider Name | Ms. Sabrina D Reed |
First Address | Englewood, CO 80113-2512 |
Second Address | Longmont, CO 80501-6972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2008 |
Last Update Date | 28/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
37123556 | (05) | CO |
91177983213 | (05) | NE |