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NPI Code Detail

MEDICARE: ANGELA N REYNOLDS NP

MEDICARE: ANGELA N REYNOLDS NP
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 PractitionerAP09748LA

General Provider Information

NPI Number : 1821586272
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA N REYNOLDS NP
Provider Business Mailing Address
First Line : 4212 BLUEBONNET BLVD STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9675
Country : US
Telephone Number : 225-399-0001
Fax Number :
Provider Business Practice Location Address
First Line : 4212 BLUEBONNET BLVD STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9675
Country : US
Telephone Number : 225-399-0001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2018
Last Update Date : 08/16/2023

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Directions to “ ANGELA N REYNOLDS NP” Practice Location

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