Individual provider · Type 1 NPI
Judith Ann Reynolds, CPNP, MSN
Pediatric Nurse Practitioner · Lawton, OK
NPI number
1457459034
Active
Practice location
1602 SW 82nd St, Southwestern Beh Hlth Ctr
Lawton, OK 73505-9012
Fax (580) 510-2778
Mailing address
311 Valleyview Dr
Lawton, OK 73507-8130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R0054436 (OK) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1457459034
Judith Ann Reynolds, CPNP, MSN's National Provider Identifier is 1457459034, issued on Sep 20, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lawton, OK. The record was last updated on Jul 8, 2007.