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NPI Code Detail

MEDICARE: ANGELA MYRA REED CRNP

MEDICARE: ANGELA MYRA REED CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerSP012988PA
2363L00000XNurse Practitioner084616-23NH
3363LA2100XAcute Care Nurse PractitionerCNP141100ME
4363L00000XNurse PractitionerCNP141100ME

General Provider Information

NPI Number : 1154758589
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MYRA REED CRNP
Provider Business Mailing Address
First Line : PO BOX 911
Second Line :
City : BRATTLEBORO
State : VT
Zip : 05302-0911
Country : US
Telephone Number : 207-303-3200
Fax Number : 207-250-2140
Provider Business Practice Location Address
First Line : 2 INDEPENDENCE DR
Second Line :
City : KENNEBUNK
State : ME
Zip : 04043-6078
Country : US
Telephone Number : 207-303-3300
Fax Number : 207-250-2144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2013
Last Update Date : 02/20/2025

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