Individual provider · Type 1 NPI

Divina Colleen Reyes, NP

Family Nurse Practitioner · Indianapolis, IN

NPI number 1114179397 Active

Practice location

1701 N Senate Blvd, Room AG001
Indianapolis, IN 46202-1239

Fax (317) 962-8652

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X71002749 (IN)
Family Nurse Practitioner Primary 363LF0000X71002749A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1114179397

Divina Colleen Reyes, NP's National Provider Identifier is 1114179397, issued on Oct 19, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 1, 2021.