Provider Demographics
NPI:1083745343
Name:REED, PATRICIA LEGRAW (RN MS BC ANP ACNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEGRAW
Last Name:REED
Suffix:
Gender:F
Credentials:RN MS BC ANP ACNP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:LEGRAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 QUANNAPOWITT PARKWAY
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880
Mailing Address - Country:US
Mailing Address - Phone:781-224-4242
Mailing Address - Fax:781-224-4265
Practice Address - Street 1:300 QUANNAPOWITT PARKWAY
Practice Address - Street 2:SUITE 9
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880
Practice Address - Country:US
Practice Address - Phone:781-224-4242
Practice Address - Fax:781-224-4265
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA181897363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health