MEDICARE: MRS. VICTORIA REED LPN

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
1	164W00000X	Licensed Practical Nurse	187916	OH

General Provider Information

NPI Number	:	1659139715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VICTORIA REED LPN

Provider Business Mailing Address
First Line	:	PO BOX 44357
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44144-0357
Country	:	US
Telephone Number	:	216-799-1665
Fax Number	:

Provider Business Practice Location Address
First Line	:	4488 W 45TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-3904
Country	:	US
Telephone Number	:	216-799-1665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	09/16/2024

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