Individual
CHRISTIAN ELIZABETH REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-4060
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011868
KY
363LF0000X
Family Nurse Practitioner
71008303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030806
—
IN
05
—
7100625560
—
KY
Enumeration date
10/04/2018
Last updated
12/20/2022
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