Brock Reed, RN
Registered Nurse, Case Management in Taos, NM. Individual provider (NPI-1).
NPI number1164022562
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1164022562
- Entity type
- Individual (NPI-1)
- Name
- Brock Reed
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | RN185966 | AZ | Yes |
Practice location
1090 Goat Springs RoadTaos, NM 87571-1946
Phone 575-758-6966 · Fax 575-751-5214
Mailing address
P O Box 1946Taos, NM 87571-1094
Phone 575-758-6966 · Fax 575-751-5214
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