Individual
MS. ALEXISNADA LOCK REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
520 SUPERIOR AVE STE 205, NEWPORT BEACH, CA 92663-3667
(949) 764-1843
Mailing address
240 AVENIDA VISTA MONTANA APT 14C, SAN CLEMENTE, CA 92672-9439
(202) 236-6572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95026154
CA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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