Individual
BEVERLY VIRGINIA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
(603) 640-1228
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2821
NH
363A00000X
Physician Assistant
PA8465
MA
363AS0400X
Surgical Physician Assistant
PA8465
MA
Other
Enumeration date
09/24/2020
Last updated
12/15/2025
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