Individual provider · Type 1 NPI
Justin Alan Reynolds, ACNP
Acute Care Nurse Practitioner · Mesa, AZ
NPI number
1336893692
Active
Practice location
6750 E Baywood Ave # 401
Mesa, AZ 85206-1749
Fax (480) 969-9345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 270825 (AZ) |
| General Practice Registered Nurse | 163WG0000X | 1144183 (KY) |
| Nurse Practitioner | 363L00000X | 270825 (AZ) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1336893692
Justin Alan Reynolds, ACNP's National Provider Identifier is 1336893692, issued on Feb 7, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Mesa, AZ. The record was last updated on Apr 21, 2026.