| Doctor Name: | MRS. CHARLA STAGG REID |
| NPI Number: | 1831218650 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN PNP |
| License Number: | 686054 |
| Business Practice Address: | 108 6th Avenue Kinder, LA - 706483519 |
| Business Phone Number: | 3377384676 |
| Business Fax Number: | |
| Mailing Address: | 108 6th Avenue, KINDER |
| State: | LA |
| Postal Code: | 706483519 |
| Phone Number: | 3377384676 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 01/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 686054 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |