Provider Demographics
NPI:1972567543
Name:REED, SUSAN ANN (NP)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ANN
Last Name:REED
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1138 CEDARCROFT RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-1902
Mailing Address - Country:US
Mailing Address - Phone:410-433-6723
Mailing Address - Fax:410-605-7731
Practice Address - Street 1:10 N. GREENE STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:410-605-7731
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR069951363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health