Provider Demographics
NPI:1124171343
Name:REED, MARCIA M (BSN, RN, CRRN)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:M
Last Name:REED
Suffix:
Gender:F
Credentials:BSN, RN, CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 WATER ST
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43469-1220
Mailing Address - Country:US
Mailing Address - Phone:419-849-3117
Mailing Address - Fax:419-849-3127
Practice Address - Street 1:410 WATER ST
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:OH
Practice Address - Zip Code:43469-1220
Practice Address - Country:US
Practice Address - Phone:419-849-3117
Practice Address - Fax:419-849-3127
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 102290163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management