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Individual
LAUREN REYNOLDS
Active
Individual
LAUREN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
11760834-3102
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
11760834-4405
UT
Other
Enumeration date
06/13/2022
Last updated
10/05/2023
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