Provider Demographics
NPI:1154654333
Name:REID, SANDREE EULANDEE
Entity Type:Individual
Prefix:
First Name:SANDREE
Middle Name:EULANDEE
Last Name:REID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SANDREE
Other - Middle Name:EULANDEE
Other - Last Name:HYLTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6166
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-0166
Mailing Address - Country:US
Mailing Address - Phone:757-575-0690
Mailing Address - Fax:
Practice Address - Street 1:1801 COLONIAL ARMS CIR
Practice Address - Street 2:APT 2A
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3006
Practice Address - Country:US
Practice Address - Phone:757-575-0690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-06
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide