Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 24285 | TN |
N | 363LA2100X | Nurse Practitioner - Acute Care | 904995 | MS |
Y | 363LA2100X | Nurse Practitioner - Acute Care | A005549 | AR |
N | 363LA2100X | Nurse Practitioner - Acute Care | AP11522 | AZ |
NPI | 1013189505 |
---|---|
Provider Name | Pamela D Reed |
First Address | Piggott, AR 72454-1911 |
Second Address | Piggott, AR 72454-1911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2008 |
Last Update Date | 03/02/2022 |