Provider Demographics
NPI:1750721809
Name:REED, SHENETTE F
Entity type:Individual
Prefix:
First Name:SHENETTE
Middle Name:F
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 1:3238 OGDEN DR
Mailing Address - Street 2:
Mailing Address - City:MULBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:33860-4509
Mailing Address - Country:US
Mailing Address - Phone:863-647-3741
Mailing Address - Fax:
Practice Address - Street 1:3238 OGDEN DR
Practice Address - Street 2:
Practice Address - City:MULBERRY
Practice Address - State:FL
Practice Address - Zip Code:33860-4509
Practice Address - Country:US
Practice Address - Phone:863-327-5090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No171W00000XOther Service ProvidersContractor