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Individual
MRS. TANYA RUTH REYNOLDS
Active
Individual
MRS. TANYA RUTH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001528A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200427630
—
IN
Enumeration date
09/20/2006
Last updated
06/22/2023
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