Provider Demographics
NPI:1760367775
Name:REED, GARRY (FNP)
Entity type:Individual
Prefix:
First Name:GARRY
Middle Name:
Last Name:REED
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16350 COUNTY ROAD 19
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-7135
Mailing Address - Country:US
Mailing Address - Phone:970-768-3699
Mailing Address - Fax:
Practice Address - Street 1:16350 COUNTY ROAD 19
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-7135
Practice Address - Country:US
Practice Address - Phone:970-768-3699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.1001023-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily