Individual
MRS. CHARLA STAGG REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PNP
Contact information
Practice address
108 6TH AVENUE, KINDER, LA 70648-3519
(337) 738-4676
Mailing address
108 6TH AVENUE, KINDER, LA 70648-3519
(337) 738-4676
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
686054
TX
363LP0200X
Pediatric Nurse Practitioner
AP06482/RN101079
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP113376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155971
—
LA
Enumeration date
03/29/2007
Last updated
02/06/2025
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