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NPI Code Detail

MEDICARE: SUSANNAH LEA REED APRN, CNM

MEDICARE: SUSANNAH LEA REED APRN, CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeAPRN9483547FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316321078
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANNAH LEA REED APRN, CNM
Provider Business Mailing Address
First Line : PO BOX 25317
Second Line :
City : TAMPA
State : FL
Zip : 33622-5317
Country : US
Telephone Number : 813-286-0033
Fax Number : 813-282-1806
Provider Business Practice Location Address
First Line : 1600 DR MARTIN LUTHER KING JR ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-4204
Country : US
Telephone Number : 727-323-3838
Fax Number : 727-456-0751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2015
Last Update Date : 06/03/2020

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