Individual
ALINA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1245 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6258
(610) 402-8896
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6258
(610) 402-8896
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R148560
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
89286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003897695
GEISINGER
PA
05
—
1027798240001
—
PA
01
—
12320855
CAQH
PA
01
—
1604919
GATEWAY
PA
01
—
2678581
FIRST PRIORITY
PA
01
—
3871471000
IND.BLUE CROSS
PA
01
—
50105447
CAPITAL ADVANTAGE
PA
01
—
9525844
AETNA
PA
Enumeration date
11/10/2005
Last updated
06/06/2013
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