Doctor Name: | PATRICIA LEGRAW REED |
NPI Number: | 1083745343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN MS BC ANP ACNP |
License Number: | 181897 |
Business Practice Address: | 300 Quannapowitt Parkway Suite 9 Wakefield, MA - 01880 |
Business Phone Number: | 7812244242 |
Business Fax Number: | 7812244265 |
Mailing Address: | 300 Quannapowitt Parkway, WAKEFIELD |
State: | MA |
Postal Code: | 01880 |
Phone Number: | 7812244242 |
Fax Number: | 7812244265 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 181897 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |