Individual
ANGELA M REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM, APNP
Contact information
Practice address
1430 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55110-3653
(651) 653-2100
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
148821-32
WI
367A00000X
Advanced Practice Midwife
Primary
202
MN
367A00000X
Advanced Practice Midwife
AP30007347
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36055400
—
WI
01
—
911019392
COMMERCIAL
—
01
—
9649070
CHPW
WA
05
—
9649070
—
WA
Enumeration date
10/05/2006
Last updated
12/02/2024
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