Provider Demographics
NPI:1376798892
Name:REED, SEAN M (PHD, APN)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:M
Last Name:REED
Suffix:
Gender:M
Credentials:PHD, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1391 SPEER BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2554
Mailing Address - Country:US
Mailing Address - Phone:303-561-5385
Mailing Address - Fax:
Practice Address - Street 1:1391 SPEER BLVD STE 600
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2554
Practice Address - Country:US
Practice Address - Phone:303-561-5385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0004994-CNS364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health