Healthcare Provider Details

I. General information

NPI: 1598098733
Provider Name (Legal Business Name): ANDREA PRESLEY REED FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2009
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 HOSPITAL DR
OSAGE BEACH MO
65065-3050
US

IV. Provider business mailing address

54 HOSPITAL DR
OSAGE BEACH MO
65065-3050
US

V. Phone/Fax

Practice location:
  • Phone: 573-302-2299
  • Fax: 573-302-2296
Mailing address:
  • Phone: 573-302-2299
  • Fax: 573-302-2296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016027447
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: