Healthcare Provider Details

I. General information

NPI: 1720716905
Provider Name (Legal Business Name): ALANA RACHELLE REYNOLDS APRN-CNP, ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALANA RACHELLE YUEN CNP

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3188 BELLEVUE AVE
CINCINNATI OH
45219-2369
US

IV. Provider business mailing address

PO BOX 636256
CINCINNATI OH
45263-6256
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8521
  • Fax: 513-475-7480
Mailing address:
  • Phone: 513-585-6200
  • Fax: 513-245-3672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberAPRN.CNP.0032122
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number11826411-4405
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0032122
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: