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NPI Code Detail

MEDICARE: NANA FATOUMATA DIALLO REID RN

MEDICARE: NANA FATOUMATA DIALLO 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
1163WC1500XCommunity Health Registered Nurse620281NY
2163WH0200XHome Health Registered Nurse620281NY

General Provider Information

NPI Number : 1437006327
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANA FATOUMATA DIALLO REID RN
Provider Business Mailing Address
First Line : 54 E DALE DR
Second Line :
City : MONROE
State : CT
Zip : 06468-1618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 54 E DALE DR
Second Line :
City : MONROE
State : CT
Zip : 06468-1618
Country : US
Telephone Number : 475-228-3419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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