Individual
SHAHDOKHT REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
67 UNION ST STE 106, NATICK, MA 01760-7700
(781) 666-2711
(781) 666-2712
Mailing address
67 UNION ST STE 106, NATICK, MA 01760-7700
(781) 666-2711
(781) 666-2712
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
226028
MA
367500000X
Certified Registered Nurse Anesthetist
229433
AZ
367500000X
Certified Registered Nurse Anesthetist
RN226028
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110125563A
—
MA
05
—
3143424
—
NH
Enumeration date
09/14/2006
Last updated
03/12/2026
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