Healthcare Provider Details

I. General information

NPI: 1528450889
Provider Name (Legal Business Name): CARRIE MICHELE REED RN, CNM-BC, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2015
Last Update Date: 01/14/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 W COURT ST
PASCO WA
99301-2776
US

IV. Provider business mailing address

3901 W COURT ST
PASCO WA
99301-2776
US

V. Phone/Fax

Practice location:
  • Phone: 509-473-0305
  • Fax:
Mailing address:
  • Phone: 509-473-0305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0993517-CNM
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61041960
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: