Provider Demographics
NPI:1386055887
Name:REED, ASHLEY (NURSE)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:CARLIN
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE
Mailing Address - Street 1:120 STATE PARK DR
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2142
Mailing Address - Country:US
Mailing Address - Phone:989-450-5192
Mailing Address - Fax:
Practice Address - Street 1:120 STATE PARK DR
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2142
Practice Address - Country:US
Practice Address - Phone:989-450-5192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704222580163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse