Provider Demographics
NPI:1942897483
Name:REED, BOBBIE
Entity Type:Individual
Prefix:
First Name:BOBBIE
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWELL
Mailing Address - State:WV
Mailing Address - Zip Code:26050-1121
Mailing Address - Country:US
Mailing Address - Phone:304-387-2198
Mailing Address - Fax:
Practice Address - Street 1:221 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEWELL
Practice Address - State:WV
Practice Address - Zip Code:26050-1121
Practice Address - Country:US
Practice Address - Phone:304-387-2198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant