Provider Demographics
NPI:1235520842
Name:REED, ANNMARIE (APRN)
Entity type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:REED
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2995 N COLE RD STE 225
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5966
Mailing Address - Country:US
Mailing Address - Phone:541-223-9159
Mailing Address - Fax:541-508-7496
Practice Address - Street 1:2995 N COLE RD STE 225
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-5966
Practice Address - Country:US
Practice Address - Phone:541-223-9159
Practice Address - Fax:541-508-7496
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID1554A363LP0808X
WA60835469363LP0808X
OR201802402NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health