Bonnie Sue Reid
Nurse Practitioner in Columbia, MO. Individual provider (NPI-1).
NPI number1982141933
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1982141933
- Entity type
- Individual (NPI-1)
- Name
- Bonnie Sue Reid
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2017
- Certification date
- Jun 26, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1982141933 | MO | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 2017002500 | MO |
Practice location
2101 Corona RdSte 102
Columbia, MO 65203-2582
Phone 573-234-1800 · Fax 573-234-1799
Mailing address
2101 Corona RdSte 102
Columbia, MO 65203-2582
Phone 573-234-1800 · Fax 573-234-1799
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