Healthcare Provider Details

I. General information

NPI: 1376798892
Provider Name (Legal Business Name): SEAN M REED PHD, APN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 EDDY ST
PROVIDENCE RI
02903-4202
US

IV. Provider business mailing address

350 EDDY ST
PROVIDENCE RI
02903-4202
US

V. Phone/Fax

Practice location:
  • Phone: 401-874-2038
  • Fax:
Mailing address:
  • Phone: 401-874-2038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAPN.0004994-CNS
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: