Provider Demographics
NPI:1356552814
Name:REED-HORSTON, VENITA MICHELLE (RN)
Entity type:Individual
Prefix:
First Name:VENITA
Middle Name:MICHELLE
Last Name:REED-HORSTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13976 PIEDMONT ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-2945
Mailing Address - Country:US
Mailing Address - Phone:313-272-6697
Mailing Address - Fax:
Practice Address - Street 1:DETROIT HEALTH DEPT. - COMMUNICABLE DISEASE DIVISION
Practice Address - Street 2:1151 TAYLOR STREET, 226-A
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-1732
Practice Address - Country:US
Practice Address - Phone:313-876-4263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704181233163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health