MEDICARE: KAREN JOAN REID CSW

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
1	163WH0200X	Home Health Registered Nurse	4704252674	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851343669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN JOAN REID CSW

Provider Business Mailing Address
First Line	:	DEPARTMENT 272801
Second Line	:	PO BOX 67000
City	:	DETROIT
State	:	MI
Zip	:	48267-2728
Country	:	US
Telephone Number	:	517-841-6913
Fax Number	:	517-841-6917

Provider Business Practice Location Address
First Line	:	2850 S INDUSTRIAL HWY STE 75
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-6796
Country	:	US
Telephone Number	:	734-677-1515
Fax Number	:	734-975-3088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	01/22/2018

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