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NPI Code Detail

MEDICARE: RANARDA RENEE' REED FNP

MEDICARE: RANARDA RENEE' REED FNP
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
1363LF0000XFamily Nurse Practitioner21199SC

General Provider Information

NPI Number : 1548785074
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANARDA RENEE' REED FNP
Provider Business Mailing Address
First Line : 1005 SWAN LN
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-1342
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4310 HARD SCRABBLE RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-9423
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2017
Last Update Date : 09/19/2019

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