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NPI Code Detail

MEDICARE: MRS. ELISSA MARIE REED FNP-C

MEDICARE: MRS. ELISSA MARIE REED FNP-C
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 PractitionerAPRN.CNP.023251OH

General Provider Information

NPI Number : 1588141808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELISSA MARIE REED FNP-C
Provider Business Mailing Address
First Line : 7731 SHEPHERDESS DR
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-2322
Country : US
Telephone Number : 937-232-4770
Fax Number :
Provider Business Practice Location Address
First Line : 8701 TROY PIKE STE 20
Second Line :
City : DAYTON
State : OH
Zip : 45424-1073
Country : US
Telephone Number : 937-237-5294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2018
Last Update Date : 07/24/2024

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