Healthcare Provider Details

I. General information

NPI: 1558357673
Provider Name (Legal Business Name): DAVID CURTIS REED CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 LEXINGTON AVE
MANSFIELD OH
44907-1906
US

IV. Provider business mailing address

475 PROVIDENCE DR
MEDINA OH
44256-4315
US

V. Phone/Fax

Practice location:
  • Phone: 419-756-5133
  • Fax: 419-774-9707
Mailing address:
  • Phone: 419-756-5133
  • Fax: 419-774-9707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN266436
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN.CRNA.05557
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: