Individual
MRS. MAGDALENA C REYNOLDS-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
(218) 878-2136
Mailing address
927 TRETTEL LN, CLOQUET, MN 55720-1345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R118748-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431217300
—
MN
Enumeration date
09/29/2005
Last updated
01/03/2025
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