MEDICARE: NICHOLAS REED RN

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
1	163WI0500X	Infusion Therapy Registered Nurse	382636	NC

General Provider Information

NPI Number	:	1356279624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS REED RN

Provider Business Mailing Address
First Line	:	4969 CADDIS BND
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-8765
Country	:	US
Telephone Number	:	812-480-6597
Fax Number	:

Provider Business Practice Location Address
First Line	:	4969 CADDIS BND
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-8765
Country	:	US
Telephone Number	:	812-480-6597
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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