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NPI Code Detail

MEDICARE: MS. REYNA S PERRY PMHNP

MEDICARE:  MS. REYNA S PERRY  PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0033347OH

General Provider Information

NPI Number : 1114621307
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REYNA S PERRY PMHNP
Provider Business Mailing Address
First Line : 3909 WOODLEY RD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1169
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3909 WOODLEY RD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1169
Country : US
Telephone Number : 419-725-3330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 05/04/2026

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