Reddick, Joan M

Reddick, Joan M is an individual health care provider with primary practice located at 1880 Mease Dr , Safety Harbor FL 34695-4659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Reddick, Joan M can be contacted via phone (727) 726-2873.

Contact Information

Primary practice address
1880 Mease Dr Safety Harbor FL 34695-4659
Fax:
Website:

Health care specialties

Profile Details

NPI number 1356444145
LBN Legal business name Reddick, Joan M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356444145 NPPES
Florida MEDICAID 300377900

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