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NPI Code Detail

MEDICARE: CAREY MICHAEL REED APN

MEDICARE: CAREY MICHAEL REED APN
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist21657TN
2364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist60152NM

General Provider Information

NPI Number : 1962944926
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAREY MICHAEL REED APN
Provider Business Mailing Address
First Line : PO BOX 1595
Second Line :
City : MIDDLETOWN
State : CT
Zip : 06457-8095
Country : US
Telephone Number : 860-788-6404
Fax Number :
Provider Business Practice Location Address
First Line : 206 S CORONADO AVE
Second Line :
City : ESPANOLA
State : NM
Zip : 87532-2792
Country : US
Telephone Number : 860-788-6404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2016
Last Update Date : 05/23/2024

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Directions to “ CAREY MICHAEL REED APN” Practice Location

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