Provider Demographics
NPI:1588401855
Name:REED, NATASHA RENEE
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:RENEE
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WINDRIDGE LN APT 7
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-9421
Mailing Address - Country:US
Mailing Address - Phone:513-383-8613
Mailing Address - Fax:
Practice Address - Street 1:100 WINDRIDGE LN APT 7
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-9421
Practice Address - Country:US
Practice Address - Phone:513-383-8613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401966720517376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide