Individual
MRS. LISA MAE REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
803 S MAIN ST, WOODSTOCK, VA 22664-1125
(540) 345-3556
(540) 342-2193
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024168130
VA
363LG0600X
Gerontology Nurse Practitioner
2008005676
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01695331
RR MEDICARE
VA
Enumeration date
12/09/2008
Last updated
07/25/2022
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