Provider Demographics
NPI:1013307461
Name:REED, PATRICIA ALEXIS (PHYSICIAN ASSISTANT)
Entity Type:Individual
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First Name:PATRICIA
Middle Name:ALEXIS
Last Name:REED
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:2104 GAUSE BLVD W
Mailing Address - Street 2:STE. A
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-4130
Mailing Address - Country:US
Mailing Address - Phone:985-643-4575
Mailing Address - Fax:985-643-4513
Practice Address - Street 1:3715 WILLIAMS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3075
Practice Address - Country:US
Practice Address - Phone:504-465-4550
Practice Address - Fax:504-465-8590
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2015-10-15
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Provider Licenses
StateLicense IDTaxonomies
LA200785363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant