Provider Demographics
NPI:1043364763
Name:REED, CAROLE-RAE (PHD, RN, APN BC)
Entity Type:Individual
Prefix:DR
First Name:CAROLE-RAE
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:PHD, RN, APN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 N SHORE RD
Mailing Address - Street 2:
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-1822
Mailing Address - Country:US
Mailing Address - Phone:609-646-9068
Mailing Address - Fax:
Practice Address - Street 1:536 N SHORE RD
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-1822
Practice Address - Country:US
Practice Address - Phone:609-646-9068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC05309100364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health