Healthcare Provider Details

I. General information

NPI: 1669495107
Provider Name (Legal Business Name): BETH REID NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 RIO LINDO AVE
CHICO CA
95926-1817
US

IV. Provider business mailing address

590 RIO LINDO AVE STE 1
CHICO CA
95926-1817
US

V. Phone/Fax

Practice location:
  • Phone: 530-897-0562
  • Fax: 530-345-0261
Mailing address:
  • Phone: 530-897-0562
  • Fax: 530-345-0261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP16015
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: