Doctor Name: | TAMARA REED |
NPI Number: | 1033498480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 28164249A |
Business Practice Address: | 2158 Intelliplex Dr Suite 200 Shelbyville, IN - 461768548 |
Business Phone Number: | 3173923651 |
Business Fax Number: | |
Mailing Address: | 1175 S Wolfcreek Rd, COLUMBUS |
State: | IN |
Postal Code: | 472018763 |
Phone Number: | 8123427698 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2011 |
NPI Last Update Date: | 08/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28164249A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |