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NPI Code Detail

MEDICARE: DANIEL ANDREW REEDER CRNP

MEDICARE: DANIEL ANDREW REEDER 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
1363LF0000XFamily Nurse Practitioner31689SC
2363L00000XNurse Practitioner5024082NC
3363L00000XNurse Practitioner0041420OH
4363L00000XNurse Practitioner34982TN
5363L00000XNurse PractitionerAPRN11045173FL

General Provider Information

NPI Number : 1265214662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ANDREW REEDER CRNP
Provider Business Mailing Address
First Line : 10200 GRAND CENTRAL AVE STE 220
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 W END AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1330
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2023
Last Update Date : 03/18/2026

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