Individual
MRS. AMY LYNN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
211 E HANOVER ST, NEW BADEN, IL 62265-1811
(618) 588-2900
(618) 588-2904
Mailing address
211 E HANOVER ST, NEW BADEN, IL 62265-1811
(618) 588-2900
(618) 588-2904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017016291
MO
363LF0000X
Family Nurse Practitioner
Primary
309004087
IL
Other
Enumeration date
01/23/2009
Last updated
11/05/2021
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