Heather Mae Reed, LPN

Individual provider Active NPI Licensed Practical Nurse · Campbell, NY

NPI 1356813331 · NPPES record last updated Jan 1, 2019

Key facts

NPI
1356813331
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
318969 (NY)
Practice address
5247 County Route 125
Campbell, NY 14821-9527
Phone
(607) 346-3443
NPI assigned
Jan 1, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
318969NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X 318969 NY Yes

Addresses

Primary practice location

5247 County Route 125
Campbell, NY 14821-9527

Mailing address

5247 County Route 125
Campbell, NY 14821-9527
Phone (607) 346-3443

Other providers in Campbell, NY

All providers in Campbell, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.