Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | AP60883505 | WA |
NPI | 1427535566 |
---|---|
Provider Name | Sonia A Reid |
First Address | Spokane, WA 99201-0254 |
Second Address | Spokane Valley, WA 99216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2018 |
Last Update Date | 31/08/2018 |