Individual provider · Type 1 NPI
Tiffany Reid, PNP
Pediatric Nurse Practitioner · New York, NY
NPI number
1699298919
Active
Practice location
462 1st Ave
New York, NY 10016-9196
Mailing address
147 W 145th St
New York, NY 10039-4204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F382578 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1699298919
Tiffany Reid, PNP's National Provider Identifier is 1699298919, issued on Jul 18, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Jul 18, 2017.