Healthcare Provider Details

I. General information

NPI: 1912973181
Provider Name (Legal Business Name): ANNE M. REED APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 S 12TH AVE
YAKIMA WA
98902-3114
US

IV. Provider business mailing address

409 S 12TH AVE
YAKIMA WA
98902-3114
US

V. Phone/Fax

Practice location:
  • Phone: 509-575-2949
  • Fax: 509-575-5743
Mailing address:
  • Phone: 509-575-2949
  • Fax: 509-575-5743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60313230
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-1145A
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201050193NP
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209-003819
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60313230
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: