Healthcare Provider Details

I. General information

NPI: 1881551901
Provider Name (Legal Business Name): RHONDA REID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17616 BROADFORDING RD
HAGERSTOWN MD
21740-1130
US

IV. Provider business mailing address

17616 BROADFORDING RD
HAGERSTOWN MD
21740-1130
US

V. Phone/Fax

Practice location:
  • Phone: 240-291-8823
  • Fax:
Mailing address:
  • Phone: 240-291-8823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP034423
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR111640
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: