Individual
CARLA REDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 754-2078
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 754-2078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.344458
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422880
—
OH
Enumeration date
10/29/2020
Last updated
01/28/2021
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