NPI 1306452768

Nicole Ashley Reda

Practitioner Family Nurse Practitioner Bomoseen, VT

Practice location

Address: 275 Route 30 N, Bomoseen, VT 05732-9647
Phone: (802) 468-5641
Mailing address: 3107 13th St, Saint Cloud, FL 34769-5925

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence APRN11005704 (FL)

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Registry record

NPI: 1306452768
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2020
Record last updated: 2 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.