Provider Demographics
NPI:1164213559
Name:REED, TAZU
Entity type:Individual
Prefix:
First Name:TAZU
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 PHEASANT RIDGE AVE SE APT 34
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-2784
Mailing Address - Country:US
Mailing Address - Phone:945-343-0098
Mailing Address - Fax:
Practice Address - Street 1:3320 PHEASANT RIDGE AVE SE APT 34
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-2784
Practice Address - Country:US
Practice Address - Phone:945-343-0098
Practice Address - Fax:945-343-0098
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula