Individual provider · Type 1 NPI
Heather Reynolds, PA-C
Medical Physician Assistant · Ivins, UT
NPI number
1447655063
Active
Practice location
3705 N 6100 W
Ivins, UT 84738
Mailing address
22 W 23rd St Fl 5
New York, NY 10010-5240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 352929-1206 (UT) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1447655063
Heather Reynolds, PA-C's National Provider Identifier is 1447655063, issued on Oct 24, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ivins, UT. The record was last updated on Jan 10, 2020.