Individual
ANGELA SANDRA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-7032
Mailing address
2706 225TH LN NW, BETHEL, MN 55005-9317
(763) 360-9112
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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