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Individual

NATINA LORAINE REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
550 HARRISON ST, SYRACUSE, NY 13202-3188
(315) 663-4874
Mailing address
550 HARRISON ST, SYRACUSE, NY 13202-3188
(315) 646-6100

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
309428
NY
363LG0600X
Gerontology Nurse Practitioner
408428
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
408428
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801563127
NY
Enumeration date
08/25/2021
Last updated
12/14/2022
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