Provider Demographics
NPI:1376099887
Name:REID, DORIS A (APRN)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:A
Last Name:REID
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 PELLING DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-9801
Mailing Address - Country:US
Mailing Address - Phone:910-585-2988
Mailing Address - Fax:
Practice Address - Street 1:OUTREACH MANAGEMENT SERVICES
Practice Address - Street 2:830 SUMIT CROSSING PLACE
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054
Practice Address - Country:US
Practice Address - Phone:803-704-9177
Practice Address - Fax:704-917-7615
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20273363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily