Individual
DIANA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN.C
Contact information
Practice address
1130 HOOPER AVE, TOMS RIVER, NJ 08753-8345
(732) 244-6380
(732) 244-6420
Mailing address
318 MONTANA DR, BRICK, NJ 08723-5969
(732) 262-1431
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN98623
NJ
Other
Enumeration date
01/20/2006
Last updated
04/02/2013
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