Individual
DEANNA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28164821A
IN
163W00000X
Registered Nurse
Primary
71010767A
IN
Other
Enumeration date
01/07/2021
Last updated
04/11/2022
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