Individual
INDIRA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 878-6000
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012362
NC
363LA2100X
Acute Care Nurse Practitioner
5012362
NC
Other
Enumeration date
10/03/2019
Last updated
10/07/2019
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