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NPI Code Detail

MEDICARE: CYNTHIA REYNOLDS FNP

MEDICARE: CYNTHIA REYNOLDS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024121231VA

General Provider Information

NPI Number : 1942236914
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA REYNOLDS FNP
Provider Business Mailing Address
First Line : 103 DOCTORS PARK
Second Line :
City : GALAX
State : VA
Zip : 24333-2277
Country : US
Telephone Number : 276-236-2947
Fax Number : 276-236-2927
Provider Business Practice Location Address
First Line : 103 DOCTORS PARK
Second Line :
City : GALAX
State : VA
Zip : 24333-2277
Country : US
Telephone Number : 276-236-2947
Fax Number : 276-236-2927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 02/26/2008

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Directions to “ CYNTHIA REYNOLDS FNP” Practice Location

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