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NPI Code Detail

MEDICARE: MRS. SARAH HENLEY REED FNP-C

MEDICARE: MRS. SARAH HENLEY REED FNP-C
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 Nurse0001222981VA
2363LF0000XFamily Nurse Practitioner0024175313VA

General Provider Information

NPI Number : 1598270621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH HENLEY REED FNP-C
Provider Business Mailing Address
First Line : 11814 KING WILLIAM RD
Second Line :
City : AYLETT
State : VA
Zip : 23009-4103
Country : US
Telephone Number : 804-769-3022
Fax Number :
Provider Business Practice Location Address
First Line : 11814 KING WILLIAM RD
Second Line :
City : AYLETT
State : VA
Zip : 23009-4103
Country : US
Telephone Number : 804-769-3022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2017
Last Update Date : 10/23/2020

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