Provider Demographics
NPI:1568076669
Name:REED, RACHEL SAMANTHA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:SAMANTHA
Last Name:REED
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1035 N EMPORIA AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-2998
Mailing Address - Country:US
Mailing Address - Phone:316-263-7285
Mailing Address - Fax:316-263-2666
Practice Address - Street 1:1035 N EMPORIA AVE STE 105
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-2998
Practice Address - Country:US
Practice Address - Phone:316-263-7285
Practice Address - Fax:316-263-2666
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79659-081363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care