Provider Demographics
NPI:1043035777
Name:REED, RHIANNA LIZ (BSN, RN)
Entity type:Individual
Prefix:
First Name:RHIANNA
Middle Name:LIZ
Last Name:REED
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 DIVISION ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-5390
Mailing Address - Country:US
Mailing Address - Phone:608-225-3990
Mailing Address - Fax:
Practice Address - Street 1:165 DIVISION ST APT 1
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-5390
Practice Address - Country:US
Practice Address - Phone:608-225-3990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI197286-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse