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NPI Code Detail

MEDICARE: MARNELLE V REID RN

MEDICARE: MARNELLE V REID 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
1163W00000XRegistered NurseRN9288850FL

General Provider Information

NPI Number : 1407798507
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARNELLE V REID RN
Provider Business Mailing Address
First Line : 810 VERMONT AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20420-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2215 FULLER RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-2303
Country : US
Telephone Number : 734-769-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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