Provider Demographics
NPI:1467469817
Name:REED, IRENE E (APRN)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:E
Last Name:REED
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 OLD SOLOMONS ISLAND RD
Mailing Address - Street 2:SUITE U-7
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3845
Mailing Address - Country:US
Mailing Address - Phone:410-266-8345
Mailing Address - Fax:410-266-6278
Practice Address - Street 1:108 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:SUITE U-7
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3845
Practice Address - Country:US
Practice Address - Phone:410-266-8345
Practice Address - Fax:410-266-6278
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR071551163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4055489 00Medicaid