Individual
MRS. IMELDA MATRIANO-LIM REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9800
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9800
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
497444
CA
163WE0003X
Emergency Registered Nurse
497444
CA
163WE0003X
Emergency Registered Nurse
63180
LA
171000000X
Military Health Care Provider
14438
CA
Other
Enumeration date
07/11/2008
Last updated
04/18/2018
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