Healthcare Provider Details

I. General information

NPI: 1528686458
Provider Name (Legal Business Name): CHELSEY NICOLE REED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8174 SEDGEFIELD DR
PENSACOLA FL
32507-1414
US

IV. Provider business mailing address

8174 SEDGEFIELD DR
PENSACOLA FL
32507-1414
US

V. Phone/Fax

Practice location:
  • Phone: 850-384-7916
  • Fax:
Mailing address:
  • Phone: 850-384-7916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: