Individual
MRS. KRYSTLE ANN REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
102 GRANDE CTR, SULLIVAN, MO 63080-1266
(573) 468-4455
(573) 468-4451
Mailing address
102 GRANDE CTR, SULLIVAN, MO 63080-1266
(573) 468-4455
(573) 468-4451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2008023052
MO
363LF0000X
Family Nurse Practitioner
Primary
2011026804
MO
Other
Enumeration date
08/08/2011
Last updated
07/04/2012
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