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General NPI Number Information
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NPI Number | 1356060784
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Entity Type | Individual
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Provider Name | ANNA REYNOLDS CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 3521 SILVERSIDE RD STE 1F
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City | WILMINGTON
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State | DE
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Zip | 19810-4900
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Country | US
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Telephone | 302-478-2613
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Fax |
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Provider Business Mailing Address
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Address Line | 114 BRIARCLIFF CT
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City | GLEN MILLS
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State | PA
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Zip | 19342-2011
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Country | US
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Telephone | 484-467-7865
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP026088
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | LJ-0010447
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LJ-0010447
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License Number State | DE
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