Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | NP06735 | OH |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 06735 | OH |
NPI | 1043436322 |
---|---|
Provider Name | Robin Anne Reed |
First Address | Grove City, OH 43123-4912 |
Second Address | Grove City, OH 43123-4912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 29/04/2020 |