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Individual

NANCY JO REEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNM, MPH

Contact information

Practice address
1650 W. MAGNOLIA, SUITE 212, FORT WORTH, TX 76104-4011
(817) 923-3633
(817) 923-3504
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 923-3504

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
224135
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120711007
TX
01
420001836
RAILROAD MEDICARE
Enumeration date
07/13/2006
Last updated
09/30/2011
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