Provider Demographics
NPI:1619109584
Name:REID, ALISON LEIGH (CNM)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:LEIGH
Last Name:REID
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W 13TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3764
Mailing Address - Country:US
Mailing Address - Phone:812-282-6114
Mailing Address - Fax:
Practice Address - Street 1:301 W 13TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3764
Practice Address - Country:US
Practice Address - Phone:812-282-6114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09000183A367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife