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Individual

ILA EVETTE REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC, FNP-C

Contact information

Practice address
3917 WEST RD, LOS ALAMOS, NM 87544-2275
(505) 353-2375
Mailing address
1980 KETTNER BLVD APT 331, SAN DIEGO, CA 92101-2258
(505) 353-2375

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP01036
NM
363LN0005X
Critical Care Neonatal Nurse Practitioner
95005675
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN002037
NV
363LN0005X
Critical Care Neonatal Nurse Practitioner
ARNP9377302
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CNP01036
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003151317A
GA
05
010949200
FL
Enumeration date
11/18/2013
Last updated
03/17/2026
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