Individual provider · Type 1 NPI

C Diane Reynolds, APN

Nurse Practitioner · Peoria, IL

NPI number 1942503602 Active

Practice location

900 Main St
Peoria, IL 61602-1005

Mailing address

12156 N Tall Trees Dr
Dunlap, IL 61525-9533

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X277.000768 (IL)
Nurse Practitioner Primary 363L00000X277000768 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1942503602

C Diane Reynolds, APN's National Provider Identifier is 1942503602, issued on Dec 17, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Aug 24, 2023.