Individual
RILEY OTTEN REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3176 LANCER ST, PORTAGE, IN 46368-4408
(219) 762-9557
Mailing address
601 WALL ST, VALPARAISO, IN 46383-2512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28249452A
IN
Other
Enumeration date
07/05/2022
Last updated
04/11/2023
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