Provider Demographics
NPI:1861932899
Name:REED, KHALIUN CHULUUN (RN)
Entity type:Individual
Prefix:
First Name:KHALIUN
Middle Name:CHULUUN
Last Name:REED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3000 OASIS GRAND BLVD APT 1804
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-1640
Mailing Address - Country:US
Mailing Address - Phone:708-856-1444
Mailing Address - Fax:
Practice Address - Street 1:19501 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2342
Practice Address - Country:US
Practice Address - Phone:305-935-1119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9367224367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered