Provider Demographics
NPI:1043436322
Name:REED, ROBIN ANNE (CERTIFIED PEDIATRIC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANNE
Last Name:REED
Suffix:
Gender:
Credentials:CERTIFIED PEDIATRIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4079 B GANTZ RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-4912
Mailing Address - Country:US
Mailing Address - Phone:614-875-3444
Mailing Address - Fax:614-875-3444
Practice Address - Street 1:4079 B GANTZ RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-4912
Practice Address - Country:US
Practice Address - Phone:614-875-3444
Practice Address - Fax:614-875-3444
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06735363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics