Provider Demographics
NPI:1134226285
Name:REED, REBECCA V (RNC, FNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:V
Last Name:REED
Suffix:
Gender:F
Credentials:RNC, FNP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:VENETIA
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS, MSN
Mailing Address - Street 1:489 BERNARDSTON RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-1238
Mailing Address - Country:US
Mailing Address - Phone:413-325-8500
Mailing Address - Fax:
Practice Address - Street 1:489 BERNARDSTON RD
Practice Address - Street 2:SUITE 108
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1238
Practice Address - Country:US
Practice Address - Phone:413-325-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171254363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0049111-22OtherFNP BOARD CERT. ANA
MA171254OtherRN LICENSE
MAMR02112471OtherMA CONTROLLED SUBSTANCE
MAMR02112471OtherMA CONTROLLED SUBSTANCE