Individual
ANGELA SANDRA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
R153636-3
MN
363LN0000X
Neonatal Nurse Practitioner
Primary
5551
MN
Other
Enumeration date
10/21/2017
Last updated
09/03/2019
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