Healthcare Provider Details

I. General information

NPI: 1740515741
Provider Name (Legal Business Name): DANIEL L REED CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 BELMONT AVE SUITE 2300
YOUNGSTOWN OH
44504-1125
US

IV. Provider business mailing address

330 FAIRGROUND RD
NEW CASTLE PA
16101-2913
US

V. Phone/Fax

Practice location:
  • Phone: 330-746-1488
  • Fax: 330-746-5611
Mailing address:
  • Phone: 724-652-5105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN218388
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.11232-NP
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP010826
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN275909L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: