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Individual

CARLA REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
138 S MAIN ST, LIBERAL, MO 64762-9314
(417) 843-2008
(417) 843-2009
Mailing address
PO BOX 13, LIBERAL, MO 64762-0013
(417) 843-2008
(417) 843-2009

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
2003003569
MO
363LF0000X
Family Nurse Practitioner
Primary
2016027443
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215436696
GROUP NPI
MO
Enumeration date
08/10/2016
Last updated
12/31/2020
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