Healthcare Provider Details

I. General information

NPI: 1336760636
Provider Name (Legal Business Name): CLAUDIA REED DNP, CRNP, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 CENTER ST
MOBILE AL
36604-3301
US

IV. Provider business mailing address

2900 SCHILLINGER RD N
SEMMES AL
36575-6472
US

V. Phone/Fax

Practice location:
  • Phone: 251-415-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-101537
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: