Healthcare Provider Details

I. General information

NPI: 1508828518
Provider Name (Legal Business Name): BARBARA A REYNOLDS FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MEADOWMONT VILLAGE CIRCLE UNC HEALTHCARE
CHAPEL HILL NC
27517-6036
US

IV. Provider business mailing address

300 MEADOWMONT VILAGE CIRCLE SUITE 301 UNC HEALTHCARE
CHAPEL HILL NC
27517
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-5662
  • Fax: 984-974-2988
Mailing address:
  • Phone: 984-974-5662
  • Fax: 984-974-2988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number201283
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201283
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: