Provider Demographics
NPI:1669495107
Name:REID, BETH (NP)
Entity Type:Individual
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First Name:BETH
Middle Name:
Last Name:REID
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1560 HUMBOLDT RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9101
Mailing Address - Country:US
Mailing Address - Phone:530-899-7300
Mailing Address - Fax:530-899-7211
Practice Address - Street 1:1560 HUMBOLDT RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-9101
Practice Address - Country:US
Practice Address - Phone:530-899-7300
Practice Address - Fax:530-899-7211
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2009-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CANP16015363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP16015OtherNURSE PRACTITIONER