Doctor Name: | ANITA D REID |
NPI Number: | 1023059573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 028405-23-03 |
Business Practice Address: | 701 S Health Pkwy Three Rivers, MI - 490938352 |
Business Phone Number: | 2692781145 |
Business Fax Number: | 2692739746 |
Mailing Address: | 711 S Health Pkwy, Suite L-7 THREE RIVERS |
State: | MI |
Postal Code: | 490939387 |
Phone Number: | 2692739723 |
Fax Number: | 2692739746 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 028405-23-03 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |