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NPI Code Detail

MEDICARE: JOAN ELLEN REED CRNA

MEDICARE: JOAN ELLEN REED CRNA
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
1367500000XCertified Registered Nurse Anesthetist365701CA
2367500000XCertified Registered Nurse Anesthetist108171AZ

General Provider Information

NPI Number : 1417958018
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN ELLEN REED CRNA
Provider Business Mailing Address
First Line : 39011 N 110TH PL
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85262-7540
Country : US
Telephone Number : 480-784-7784
Fax Number :
Provider Business Practice Location Address
First Line : 755 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2506
Country : US
Telephone Number : 602-271-3020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 04/17/2009

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