| Doctor Name: | PAULA MARIE REEDY |
| NPI Number: | 1871682419 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R0066002 |
| Business Practice Address: | 103 Don Pablo Lane Hondo, NM - 88336 |
| Business Phone Number: | 5756534830 |
| Business Fax Number: | 5756534833 |
| Mailing Address: | Po Box 843, 1515 West Fir PORTALES |
| State: | NM |
| Postal Code: | 881300843 |
| Phone Number: | 5753566695 |
| Fax Number: | 5753565948 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 07/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R0066002 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |